Abstract:In orthodontic treatment,we may often deal with borderline cases,in which both extraction and non-extraction treatment may be suitable,or both surgery and non-surgery treatment may be reasonable. Thus,the treatment plan for borderline cases troubles orthodontists. Based on principles and essence,this article discussed the factors influencing extraction decision-making and the qualitative and quantitative indications of orthognathic surgery,and analyzed the challenges and traps in dilemmas.