Introduction and Objetive: The treatment of the internal disorders of the temporomandibular joint has had multiple approaches and it has been made of diverse ways. The surgery of the joint is considered like last alternative for reluctant cases to the preservative treatment, nevertheless it does not have been free of controversy by the risks that displays for the patient, the complications which they are possible to be presented and by the results that can be obtained in the long term. The objective was to assess the success of surgical procedure (meniscal plication and eminectomy) in patients with internal derangement of the temporomandibular joint (TMJ). Materials and Methods: Twenty patients in a retrospective clinical study design. The maximal opening, noise/clicking, and joint pain was recorded preoperatively. Completed visual analogue scales of pain at the time of follow up and the patient satisfaction were evaluated. Results: Decrease in TMJ pain after surgery was reported by 70% of the patients. Joint sounds persisted in a 60%, 15% improve in noise/clicking. Postoperative findings relating to open mouth showed 65% of the patients with normal opening. The patient satisfaction with this TMJ surgery was 90%. Conclusion: TMJ meniscal placation and eminectomy improve pain and dysfunction after surgery enhancing quality of life. Key words: Joint,