Background: β-thalassaemia is a common hereditary disorders in Iraq and worldwide .with different treatment schemes,, including blood transfusion, iron chelation and splenectomy, patients with B thalassemia may develop different skeletal changes. Limited studies link these complications with orofacial changes, This study aimed to evaluate the orofacial dimensions in β-thalassemia patients with age, gender, blood groups, splenectomy and cholecystectomy and to assist surgeons for planning their future intervention.Method: This study was conducted on 130 ß-thalassemia patients of both gender,,and two age categories (20-30 yrs), & (21-40 yrs), five orofacial measurements (face,eyes,nose,mouth and ears) and sixteen parameters were measured and calculated for differences,P value is estimated,data analysis were done by using Chi square test and SPSS version 20 Results: Significant findings were found for mandibular width and mouth width at older age group (31-40 years), the nasal width and ear height are more in male, patients with splenectomy have significance for lower 1\3 face and ear width. Cholecystectomy increase eye length measurments and ear height but for blood groups the P ˃ 0.05 Conclusions: Orofacial bone changes are pronounced in β-thalassaemia with distinct findings regarding sex dimorphism, older are more prone to have variations, earlier splenectomy is advisable,cholecystectomy is better choice for symptomatic patients, blood groups have no significance.