The treatment of displaced mandibular subcondylar fractures has been controversial. Nonsurgical management with maxillomandibular fixation rarely achieves fracture reduction. Functional adaptation to the altered condylar mechanics is the mainstay of conservative treatment. However, the persistent shortened ramus height and malreduced condyle leaves a structurally disadvantaged mandible with increased risk of oromasticatory dysfunction, unappealing loss of aesthetic chin projection, and deviant jaw motion with potential for late internal derangement of the contralateral temporomandibular joint. Open fracture repair has been advocated as a reliable method of anatomically restoring condylar position and mandibular height. However, established methods of open surgical repair have not been popular because of the risk of facial nerve transection, external facial scarring, impaired fracture visualization, difficult dissection, and fixation. Using endoscopic visual enhancement with an intraoral method of fracture reduction and rigid fixation, the disadvantages traditionally associated with open subcondylar fracture repair have been minimized. More importantly, anatomic fracture reduction with restoration of normal condylar mechanics and immediate jaw motion can be reliably achieved with most adult extracapsular noncomminuted subcondylar fractures. Premorbid oromasticatory function,esthetic chin projection, and dynamic jaw motion can be achieved within minimal risks. Endoscopic subcondylar fracture repair has been efficacious at functional, aesthetic, and radiographic restoration of the mandible without postoperative maxillomandibular fixation.