The history of craniofacial surgery and the use of intentional cranial defo
rmation is a long and varied one. Researching some of the earliest medical
writings and reviews of early terracotta and stone figures from throughout
the world clearly revealed that these two forms of treatment were widely ex
tant. Intentional cranial deformation was used for a number of reasons incl
uding beautification, tribal identification, and social stature. The develo
pment of craniofacial surgery is a more modern practice and its historical
evolution is reviewed in the context of techniques and the personalities in
volved.