A cutting guide in VSP refers to a customised surgical tool designed based on a patient’s specific anatomy as visualised through advanced imaging techniques such as CT scans or MRI. In maxillofacial surgeries, these ensure precise and accurate cuts in bone structures. It serves as a template that guides the surgeon during the actual surgery, permitting incisions, resections, or osteotomies with a high level of accuracy. Intra-operatively, the cutting guide is positioned on the patient’s anatomy, aligning with the pre-planned locations for bone cuts. The surgeon then uses the guide to make precise cuts, facilitating the accurate execution of the VSP. It offers several benefits, including increased surgical precision, reduced operating time, and potentially improved postoperative outcomes. By customising the guides to each patient’s anatomy, surgeons can enhance the accuracy of complex procedures, minimise errors, and optimise the fit of implants or prosthetics, if they are part of the surgical plan.