Training in oral and maxillofacial surgery is lengthy and demanding, requiring dual qualification and basic training in dentistry and medicine, followed by completion of a higher surgical training programme. The ‘exit examination’ leading to the awarding of the specialty Fellowship of the Royal College of Surgeons in Oral and Maxillofacial Surgery (FRCS(OMFS)) represents the final academic step of training in the specialty. For part 2 of the FRCS(OMFS) examination, one day is dedicated to ‘vivas’, where the candidate is interviewed by two senior clinicians in their diagnosis and management of conditions in the specialty. As such it encompasses the entire remit of Oral and Maxillofacial Surgery, including orthognathic surgery, craniomaxillofacial trauma, surgical oncology and dermatology, oral medicine, craniofacial surgery, dentoalveolar surgery, temporomandibular joint disorders, salivary gland disease, local flap and free tissue transfer, oral implantology and cleft surgery. This daunting syllabus is covered in four viva sessions of thirty minutes, with six five-minute vivas in each session. The aim of this book is to give candidates a structure as to how to answer such scenarios as well as provide clinical subject matter encompassing the range of the specialty. This includes pertinent scenarios that are generally not covered in other FRCS revision books such as ethics, consent and negligence. As such it will be of interest to clinicians in related specialties, including dermatology, oral surgery, ENT, and plastic surgery.