The landscape of modern healthcare is continually evolving, with advancements in medical technology and devices playing a pivotal role in enhancing patient outcomes and treatment methodologies. Craniofacial surgeons, as end-users and key stakeholders, play a crucial role in shaping the design and functionality of computer-assisted medical devices. The multifaceted nature of surgical procedures demands innovative solutions that not only address the complexities of diverse medical conditions but also align with the ergonomic needs and preferences of the surgery. Craniofacial surgeons, possessing a profound understanding of clinical nuances, bring invaluable insights to the table, guiding the development of devices that seamlessly integrate into their workflow. The development of medical devices highlights the need for user-centric design principles and iterative feedback loops, ensuring that medical devices meet the technical specifications and resonate with the practical requirements. Here we provide a comprehensive overview of the symbiotic relationship between surgeons and medical device development, recognizing the challenges as catalysts for innovation and opportunities for refining surgical practices. Collaboration between the two fields not only ensures the creation of cutting-edge medical technologies, but also fosters patient-first care and advances surgery.