It has become rare to come across simple cases today in Periodontics. Our specialty has come to face complex cases where hard and soft tissue deficiencies are common. We are exposed to complex cases where aesthetics is the major issue. This protocol and schematic approach was developed to help the surgical practitioner visualize and divide the problem into a predictable step-by-step workflow. Every step is dictated by biology. All incision designs, flap management techniques, and biomaterials used have been selected to maximize the blood supply in the area and minimize trauma to the vascular network that nourishes our surgical site. Every action performed during surgery has an immediate and lasting consequence. This protocol aims to optimize results by taking what is known about the anatomy of the surgical site and the biology of wound healing to make purposeful choices in each step of surgery.