Patients with skeletal class III jaw bases present with multitude of functional difficulties which affect them on a day-to-day basis and pose a greater, if not equal, concern to both the patient and the clinician than just the aesthetic drawbacks associated with such skeletal deformities. Orthognathic surgeries post initial orthodontic decompensation is a standard line of treatment followed in such patients. Here we discuss three such cases where patients with class III skeletal jaw bases were treated with bimaxillary orthognathic surgeries performed using patient specific acrylic splints to improve the patient’s respiratory and speech functions as well as to achieve the desired orthognathic profile.