Background: The present study was conducted for evaluating initial Vertical and Horizontal Position of Palatally Impacted Maxillary Canine and Effect on Periodontal Status Following Surgical-Orthodontic Treatment. Materials & methods: The present study included 20 patients (10 female and 10 male) previously treated for unilateral palatally impacted maxillary canines. The impacted permanent canine could have one of two vertical positions: the canine’s cusp could be above (V1) or below (V2) the horizontal reference line. The impacted permanent canine could have one of two horizontal positions: the canine’s cusp could be distal (H1) or mesial (H2) to the vertical axis of the lateral incisor. Orthodontic treatment was done. The periodontal status of the first premolar, canine, and lateral incisor was evaluated by assessing periodontal pocket depth and gingival recession. All the results were recorded and analysed by SPSS software. Results: Following surgical-orthodontic treatment, a substantial increase in pocket depth was seen at the canine Additionally, a link was discovered between the impacted canine's initial mesiodistal and vertical position and the periodontal health of the affected canine, the neighbouring lateral incisor, and the first premolar following therapy. Conclusion: Clinically acceptable periodontal conditions are achieved when impacted maxillary canines are treated using a combined surgical-orthodontic strategy.