Mandibular reconstruction is a complex procedure and is a challenge to the surgeon. Reconstruction is required following resection of mandible due to benign or malignant pathology, osteonecrotic mandible that could not be treated conservatively. Reconstruction modalities have changed significantly over the years with the introduction of newer techniques and technologies. This article reviews and summarizes the various reconstructive modalities for mandibular defects of past years, comparatively newer reconstructive options available and the recent advances in reconstruction done by Patient-Specific Implants produced by virtual planning.