Intraoperative Feedback and Quality Control in Orbital Reconstruction

•The development and implementation of medical technology in orbital reconstructive surgery is a logical consequence of the philosophy to optimize the treatment procedure before, during, and after surgery in terms of maximum control for the surgeon and the aim for optimal outcome for the individual patient.•During the surgical procedure, the optimal virtual surgical planning must be transferred to the surgical site as accurately as possible; for this purpose, a variety of different methods and devices may be used and even combined, depending on the complexity of the task.•The adage that “the best way to predict the future is to invent it” (Alan Kay) has proved true for orbital reconstruction in the past and will be the key to future innovations. •The development and implementation of medical technology in orbital reconstructive surgery is a logical consequence of the philosophy to optimize the treatment procedure before, during, and after surgery in terms of maximum control for the surgeon and the aim for optimal outcome for the individual patient.•During the surgical procedure, the optimal virtual surgical planning must be transferred to the surgical site as accurately as possible; for this purpose, a variety of different methods and devices may be used and even combined, depending on the complexity of the task.•The adage that “the best way to predict the future is to invent it” (Alan Kay) has proved true for orbital reconstruction in the past and will be the key to future innovations.