Integrating oral and maxillofacial surgery (OMS) services into other specialty divisions or surgical departments can be viewed with skepticism, or even derision, by some OMS providers. However, these would be isolated experiences with outlying institutional cultures explaining that perspective. Instead, the argument can be made for a rewarding practice pattern that affords the OMS provider to specialize in areas of critical need and personal interest, highlighting the training, expertise and scope of practice for this specialty.