Surgical reconstruction of the temporo-mandibular joint, recent advances, represent the recent work and research of the author during the last 4 decades. This book cover all the techniques been used for reconstruction of the temporo-mandibular joint with the recent advances by advocating many new surgical techniques designed for managements of many difficult cases of subluxation and dislocation acute or chronic or recurrent one by advocating new technique by using a fingure like fascia flap, inferiorly based for reconstruction of the anterior and lateral wall of lax capsule for re enforcement and using a bone graft as a block inserted in the gap created anterior to articular eminence as an obstacle to prevent forward movement of the condyle beyond articular eminence, this procedure was advocated for chronic recurrent subluxation. Also the author advocating a new surgical procedure for chronic recurrent dislocation of the TMJ in old people by designee an advancement of a a reverse L shape flap on lax to cover the anterior part of the capsule as plication with eminectomy.the author present new method by unilateral manual reduction of acute dislocated TMJ instead of the rational one.