An adequate volume of bone and soft tissue is critical for implant success. We will discuss patient assessment and planning for a continuum of treatment challenges facing the implant surgeon from recession defects, extraction site defects, immediate implant challenges, through more complex hard and soft tissue defects. Live surgery, case studies and video will be used to demonstrate bone and soft tissue grafting techniques with minimally invasive closed harvest, as well as, management of combined bone and soft tissue defects. We will discuss advanced periodontal "plastic" procedures in implant reconstruction including: tunnel grafts, pedicle grafts, and repositioned flaps. Discussion of the role of grafting materials, resorbable barriers and non-resorbable barriers for non-primary closure, BMP, growth factors and the management of complications will be completed. Attendees will be challenged to advance their bone and soft tissue techniques with progressive skill development in situations that present every day in our practices.