Minimally invasive surgery is the next step in oral implantology using the "least invasive" procedure, with the fewest number of steps and smallest cost and adopts a philosophy that integrates the treatment objective using the least invasive surgical approach, with the removal of the minimal amount of healthy tissues prevention, regeneration and minimal intervention for the placement and replacement of oral tissues.Newer approaches towards implant site development involve minimal tissue trauma like Videoscope assisted-MIST, Guided implant surgery, Robotic assisted surgery, tissue engineering incorporating, Lasers, Peizo-electrics and recombinant DNA techniques have increased patient acceptance and success rates of dental implant surgeries.