Surgical technique to accelerate the rate of orthodontic tooth movement has been recognized in many case reports. It is a clinically successful method used for mature patients, where time of orthodontic treatment may be important in preferred groups of patients. The alveolar bone remodeling and PDL are the significant factors in orthodontic tooth movement, and bone turnover is identified to enlarge after fracture, bone grafting, and osteotomy. Various surgical procedures are there to accelerate the orthodontic tooth movement such as distraction osteogenesis, corticotomy, osteotomy, micro-osteoperforations and piezocision technique.