Surgical treatments for obstructive sleep apnea (OSA) seek to eliminate or decrease airway obstruction. Methods involve uvulopalatopharyngoplasty, maxillomandibular advancement, and reduction of the tongue base. Preoperative assessment, management of anesthesia, and multidisciplinary treatment ensure safety and effectiveness. Improvements in surgical planning, minimally invasive methods, and perioperative procedures improve patient outcomes, symptom relief, and quality of life.