Rehabilitation of total edentulous patients or transition from failing dentition have always been challenging to clinicians. Graftless solutions have revolutionized patients’ experience who opt for Implant restorations. Reduced surgical procedures, Immediate professionalization, and Improved aesthetics have been a game-changer allowing increased acceptance for treatment when it comes to graftless treatment options. However, the simplicity of the treatment concept does not necessarily mean ease of execution. Improving treatment outcome depends on understanding the various surgical and prosthetic factors to be considered before treatment. Let’s discuss some clinical cases ranging from traditional approaches to recent modifications to using grafless solutions.