Masseter hypertrophy, characterized by enlargement of the masseter muscles, poses both aesthetic and functional challenges. This abstract provides an overview of surgical approaches for the management of masseter hypertrophy and summarizes their outcomes. Surgical intervention aims to reduce the size of the hypertrophic masseter muscles, addressing concerns such as facial asymmetry, bruxism, and temporomandibular joint dysfunction. The two primary surgical techniques employed are botulinum toxin injection and masseter muscle resection.