In the 2023 Guidelines for the Treatment of Facial Nerve Palsy, which were revised for the first time in 12 years, recommendations were made for two clinical questions regarding acupuncture and moxibustion: 1) Is acupuncture and moxibustion effective for early recovery from paralysis (acute phase) and 2) Is acupuncture and moxibustion effective for reducing symptoms of sequelae (chronic phase).　This paper describes the purpose of the guidelines, the process of creating them, the CQs for paralysis, and the use of the guidelines; the evidence for rehabilitation and the role played by certified rehabilitation instructors from the Japanese Facial Neurology Society; and the evidence for acupuncture and its role in treating paralysis.　In the future, the role of acupuncturists will be to work closely with medical institutions to understand the stage of paralysis, and to provide acupuncture and moxibustion treatment and self-care guidance according to the stage of the disease.