Aim: A Class II skeletal deformity is frequently considered to be a unilateral maxillary problem. The purpose of this presentation is to show that solving Class II skeletal problems can be achieved with bimaxillary surgery even when the problem is unilateral. A further aim is to show the benefit of a team approach and the aesthetic results of a series of severe Class II patients who underwent bimaxillary surgery. Subjects and methods: Three cases showing patients who underwent bimaxillary surgery. Results: Good aesthetic results were achieved together with a functional and stable occlusion. Conclusions: Orthognathic surgery is the best option when camouflage is not possible and growth modification is limited. Bimaxillary surgery is often necessary to achieve good aesthetic results in Class II patients. Keywords: Class II, hyperdivergent, orthognathic surgery, gummy smile, facial aesthetics