Introduction: Retained foreign bodies during surgery are considered as completely avoidable events. There is a large body of literature that has attempted to identify risk factors and create protocols to prevent the occurrence of the same. Dislodgement of orthodontic fixed appliance components [OFAC] can occur during orthognathic surgery on account of the excessive forces that they may be subjected to during the procedure. Case Report: A 19-year-old female patient underwent a bi-jaw orthognathic surgery for a hypoplastic maxilla. A routine post-operative radiograph displayed an orthodontic molar tube within the right mid ramal region on the 3rd post-operative day. The molar tube was retrieved under general anesthesia with the assistance of an intra-operative c-arm for accurate localization of the bracket. The patient recovered well after the procedure. Conclusion: A potential long-term complication [e.g. space infections] was avoided as the molar tube was identified in the immediate post-operative phase. Pre, intra and post-operative measures has been suggested to prevent such complications. Possible risk factors that may contribute to retained foreign bodies in the surgical site have also been briefly been identified