Fluid and Electrolyte imbalances can arise as a result of various factors, including preexisting health conditions, injury, or surgical interventions, these imbalances can lead to serious complications such as dehydration, electrolyte disturbances, and impaired wound healing. In Oral and Maxillofacial surgical procedures, maintaining proper fluid and electrolyte balance is crucial for optimal patient outcomes. The management of fluid and electrolyte imbalances requires a comprehensive approach. Surgeon’s, nursing staff and other team members need to carefully assess the patient’s fluid status and monitor electrolyte levels before, during and after surgery. this includes monitoring vital signs, laboratory tests, and clinical indicators of imbalances. Understanding and effectively managing fluid and electrolyte imbalances in Oral and Maxillofacial surgery are essential for ensuring patient safety and successful surgical outcomes. Through careful assessment, monitoring and appropriate interventions, surgeons can mitigate the risks associated with these imbalances and promote optimal patient care.