Background <p>Due to the mandatory double-degree qualification, specialist training in oral and maxillofacial surgery (OMFS) is characterized by long training paths, high workload, and complex structural conditions. Key challenges include the compatibility of training and family life, staff shortages, and digital deficits.</p> Objective <p>This article aims to present the perspective of junior doctors in training on the current realities of OMFS specialization and to outline structural approaches for improvement.</p> Materials and methods <p>An experience-based analysis of central challenges combined with literature-supported context was performed. Qualitative insights from clinical training practice are integrated with current academic findings.</p> Results <p>Three main problem areas were identified: a&#xa0;lack of compatibility between training and family planning due to inflexible structures; inefficient use of medical personnel due to non-medical tasks; and insufficient digital support, particularly in documentation and administration.</p> Conclusions <p>A&#xa0;future-oriented OMFS training system requires structural reforms: family-friendly work models, task delegation, digital support, participatory culture among trainees, and leadership that takes real-life needs seriously.</p>