ABSTRACT Surgical removal of the impacted lower third molar tooth is one of the most performed procedures in oral and maxillofacial surgery. Literature search was conducted to identify the pre-operative and post-operative complications associated with lower third molar surgery and the different modalities available for its management. The various complications associated with impacted lower third molar surgery and its management are discussed in this review article. The most common complications associated with third molar surgery are pain, swelling and trismus. It is concluded that complications after lower third molar surgery remains an important factor in quality of life in post-operative periods. As an Oral and maxillofacial surgeon should be aware of the complications, preventive measures and management to reduce pre-operative and post-operative complications.