Diagnostic treatment planning of Class III malocclusion is complicated due to the interaction of development, timing, dental pattern, and skeletal relationships. Historically, the treatment of adult Class III malocclusions has tended to be seen primarily as cases of mandibular prognathism. As diagnostic acumen and surgical skills improve and merge, orthodontic and surgical treatment plans for Class III malocclusions have become more common. Class III malocclusions now tend to be described in terms of mandibular prognathism, horizontal maxillary hypoplasia, maxillary vertical hypoplasia, and mandibular dentoalveolar retrusion. The purpose of this paper is to present a combined surgical-orthodontic treatment approach involving clockwise rotation of the occlusal plane for treatment of hypodivergent Class III skeletal pattern and dental malocclusion.