The generation of new bone through distraction or the replacement of missing bone segments via transport techniques has been successfully performed for many years. Today, with the accumulation of extensive knowledge and experience, these procedures continue to be widely adopted and frequently preferred surgical methods worldwide. Throughout the evolution of these techniques to their current state, plate and screw systems, one of the fundamental orthopedic implants, have been consistently utilized. This review discusses the indications and techniques for the use of plates in distraction surgery, both as primary and adjunctive tools, within the context of contemporary surgical practice.