| Outbound Relationships | Type | Target | Active | Characteristic | Refinability | Group | Values | 
| Smith operation, open osteotomy of mandible | Is a | Osteotomy of mandible | true | Inferred relationship | Existential restriction modifier |  |  | 
| Smith operation, open osteotomy of mandible | Method | Division - action | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Smith operation, open osteotomy of mandible | Procedure site | Bone structure of mandible | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Smith operation, open osteotomy of mandible | Procedure site | Bone structure of cranium | false | Inferred relationship | Existential restriction modifier |  |  | 
| Smith operation, open osteotomy of mandible | Method | Incision - action | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Smith operation, open osteotomy of mandible | Method | Incision - action | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Smith operation, open osteotomy of mandible | Procedure site - Direct | Bone structure of cranium | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Smith operation, open osteotomy of mandible | Procedure site - Direct | Bone structure of mandible | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Smith operation, open osteotomy of mandible | Method | Osteotomy - action | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Smith operation, open osteotomy of mandible | Method | Osteotomy - action | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Smith operation, open osteotomy of mandible | Method | Osteotomy - action | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Smith operation, open osteotomy of mandible | Procedure site - Direct | Bone structure of mandible | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Smith operation, open osteotomy of mandible | Procedure site - Direct | Bone structure of face | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Smith operation, open osteotomy of mandible | Access | Open approach - access | true | Inferred relationship | Existential restriction modifier | 1 |  |