Many complex interdisciplinary problems involve deficiencies or discrepancies in the dentoalveolar complex that can prolong treatment time and compromise overall outcomes. Inter-arch and intra-arch space appropriation problems are most evident as poor esthetics or less than ideal occlusions. Inter-arch problems are caused by TM joint changes or growth and development issues. Intra-arch problems manifest themselves as poor arch forms, severely crowded dentitions, insufficient alveolar bone and traumatic or developmental ridge defects. Surgically facilitated orthodontic therapy (SFOT) in combination with skeletal anchorage can shorten treatment times, modify vertical relationships and enhance the development of the arch form, alveolar bone and soft tissue to ideally address these issues involving the dentoalveolar complex., Special focus will be given to utilizing high-tech clear aligners instead  of traditional orthodontic appliances to add a new and exciting dimension to SFOT while significantly increasing patient treatment acceptance.