Orthopedic screws are generally manufactured using CNC machines, but these machines are complex and expensive. Orthopedic screws are included in the special product category from its non-corrosive, not easily distorted and have better accuracy than other screws in general; so, it presents a high selling price. To overcome this challenge; the manufacturing process needs to be analyzed. The lost wax casting process gives production process of screw with accepted measures. This paper discusses the results of the dimensional analysis of casting where the process of casting lost wax begins with making the wax pattern mould. Furthermore, the designed assembly tree is smeared and poured in the ceramic pulp until it hardens. The heating process is useful to dilute the wax pattern before the pouring is successful. The main catalyst for good orthopedic screws is magnesium. The pouring process is needed specifically on this material which is easily oxidized or easily increased if the pouring process is in the open room. To avoid this, the material considered to be used is lead and this process is preferred to develop lost wax casting for manufacturing screws that produce small dimension products with high accuracy.