20 years old female patient with asymmetric mandibular prognathism had anterior open-bite, anterior cross-bite and mandibular shift. This patient was treated width both orthodontic and surgical method. Maxillary second molars were extracted to reduce the wedging effect and maxillary first molars moved to distal by straight pull head gear. After orthognathic surgery, open-bite was corrected with multiple shoe-loop arch wire.