INTRODUCTION All the surgical procedures should be carefully planned. All patients should be adequately prepared medically, psychologically and practically for all aspects of the surgery. Indications For Surgical Treatment Impaired access for scaling & root planning, difficulties in accomplishing proper root debridement increase with increasing depth of the periodontal pockets, increasing width of the tooth surfaces, presence of root fissures, concavities and furcations, Impaired access for self-performed plaque control.