Clinicians in daily orthodontic practice will face referral cases from another orthodontist; the reasons are variable, from because the patient moved to a new location, being unable to finish the case, or patient dissatisfaction. Most of the time, there will be no reason to reject the inquiry and to continue the treatment as much as possible. The case is a skeletal Class III with extracted left and right upper first bicuspids. All the cusps of the posterior teeth were flattened, with the anterior relation being end-to-end. The cant of the occlusal plane higher on the right side is obvious. The patient suffered from temporal mandibular disorder (TMD) and found it difficult to chew without pain. The TMD might have been related to the one-sided clenching habit as well as the deviated occlusal plane. As the patient refused surgical treatment, all efforts focused on how to bring the case to a better condition for the benefit of the patient and to finish the orthodontic treatment. A modified surgical plate (Anka plate) was used to treat the case, and the results were summarized and reported.