<s>[INST] my graddaughter has been told by Shriners.She needs to have surgery.She has had two different braces.With no good results.She is on 11yrs. old fully developed.Looks like she is 13.I am worried for her.At this age. I wonder if she should get a second opinion. [/INST] Hello and thanks for consulting Chat Doctor.I have gone through your query and understand your concern. If she has a tooth problem what is said to be a malocclusion that can be treated with orthodontic braces. But as you said that two times the braces are not working then I presume that the doctor is talking about orthographic surgery. This surgery is done when there is no chance of correcting the teeth positioning by braces.I would advise you to take a second opinion, or you can upload the pics (x-rays, OPG) here so that I can have a better idea. Hope this answers your query. Regards </s>