Aim: Mild and moderate Class II and III dental/skeletal malocclusions are treated with dental camouflage or orthognatic surgery. The aim of this study was to evaluate the profile perception of different groups (plastic surgeons, orthodontists and laypeople) in Class II and III skeletal malocclusion after camouflage and orthognathic surgery to assist in deciding the treatment option. Materials and Method: The initial and final profile pictures of Class II male and female, Class III male and female treated with dental camouflage and the orthognathic surgery simulation profile pictures prepared by Nemoceph (Nemotec, Version 6.0, Madrid, Spain) on the initial profile were converted into silhouettes. The questionnaires including these silhouette comparisons in pairs were applied to 30 orthodontists, 30 plastic surgeons and 30 laypeople. Results: Although the orthodontist, plastic surgeon and laypeople chose almost the same profiles, the preferred rates differed. There was no difference between surgeons and orthodontists, however the rate of laypeople preferring orthognathic surgery was less than professionals. Although thecamouflage and orthognatic surgery simulation were preferred more than the initial, the orthognatic surgery rate was higher than the camouflage treatment. Choices were as follows: Orthognathic surgery, camouflage treatment, initial profile. Conclusions: Orthodontist and plastic surgeons preferred orthognathic surgery profile more than the camouflage. However, for laypeople it was not equally important, although it was in the same direction. Therefore, the gains and the risks of surgical option have to be explained to the patients in details and the treatment method should be decided according to the patient's opinion. Keywords: Orthognatic profile, Dental camouflage, profile perception