Virtual surgical planning (VSP) has emerged as a transformative tool in orthognathic surgery, offering enhanced accuracy and efficiency. This prospective randomized trial evaluates the impact of VSP compared to conventional planning methods in bimaxillary orthognathic surgery. A total of 80 patients were randomized into two groups: VSP-assisted surgery (n=40) and conventional surgery (n=40). Preoperative and postoperative discrepancies in skeletal positioning, operative time, and clinical outcomes were assessed. The VSP group demonstrated significantly improved surgical accuracy, with mean discrepancies between planned and actual outcomes of 0.89 ± 0.34 mm compared to 2.41 ± 0.58 mm in the conventional group (p<0.001). Additionally, the VSP group exhibited a 22% reduction in operative time (p=0.002), enhanced predictability, and improved patient satisfaction. This study highlights VSP's superiority in optimizing surgical outcomes, reducing intraoperative adjustments, and minimizing procedural duration. The findings support VSP as a standard approach for orthognathic procedures, improving precision and clinical efficiency.