Abstract: Periodontal plastic surgery performed to correct or eliminate anatomic, developmental, traumatic or disease induced defects of the gingiva, alveolar mucosa or bone”. The contemporary opinion is that even in the areas with insufficient or absent attached gingiva oral hygiene maintenance is possible but if the gingival tissue is thin, there is an increased risk of gingival recessions. The treatment of buccal gingival recessions one of the indications of PPS as it involves patient’s aesthetic concerns. The free gingival graft (FGG) is a technique introduced more than 50 years ago to address the lack of keratinized tissue by Bjorn in 1963 and was first described by Sullivan and Atkins in 1968. FGG can also be attempted for treatment of gingival recession and root exposure. It is a simple and highly predictable when used to increase the amount of attached gingiva.