Objective: The aim of this paper is to describe the most common variables impacting image quality and discuss tips to improve clinical perioperative photographic skills in craniomaxillofacial and reconstructive surgery. Methods: We conducted a comprehensive review of the literature to describe the basic concepts of photography and its applications in medical perioperative photography. Data sources included peer-reviewed articles and clinical studies on medical photography. Results: Medical photography in сraniomaxillofacial and reconstructive surgery is an indispensable tool for obtaining precise documentation of conditions and surgical procedures. To understand the basics of medical photography, it is necessary to be familiar with the fundamental concepts of photography, such as exposure, aperture, shutter speed, ISO, and composition, as well as basic camera specifications, lenses, and flash equipment. Perioperative medical photography can be divided into pre-operative, intra-operative, and post-operative photography. While the basic concepts of photography are transferrable among the different phases of perioperative photographic documentation, some tips can be applied to improve the quality of the images at each stage. Conclusions: Enhancing the quality of perioperative photography is essential for the comprehensive documentation and communication of surgical procedures. The standardization and consistency in photographic tools, a clean surgical field with good framing, lighting, and focus with the appropriate aperture and shutter speed will produce better and sharper images.