Reconstructing large lower jaw defects, especially following demolition surgery to remove tumours, is a frequent target of maxillofacial reconstruction surgery. The procedure requires a considerable amount of excellent quality osteoplastic material if the surgeon is to perform the delicate task of aligning the upper and lower jaw to restore morphology and function as much as possible. Thanks to the Tissue Bank, today homologous tissues from the fibula, the iliac crest, shoulder blade, etc. can be made available for jaw surgery. Surgical outcomes often result in excellent aesthetic and functional patient rehabilitation.