A better understanding of endodontic disease and the causes of treatment failure hasrefined the role of surgery in endodontics. The advent of newer materials, advances insurgical armamentarium and techniques have also led to an improved endodonticsurgical outcome.Endodontic surgery straddles the specialties of endodontics and dento alveolar surgery. With the advent of the operating microscope, newer endodontic filling materials and stem cell therapy, humungous strides have been taken in this area, thus enabling transmutation of peri apical surgery into an avant-garde treatment modality