Knowledge of the wound healing process, the anatomy of vascular supply to the mucosa and gingiva, as well as incision techniques for flap formation is essential for surgical procedures in oral implantology. The goals of surgical soft tissue techniques include avoiding scar formation, creating adequate soft tissue volume, and preserving the interdental papillae. Magnification aids and microsurgical instruments can help keep procedures as atraumatic as possible. Adhering to the principles of incision for flap formation makes precise wound adaptation, rapid revascularization, and optimal blood supply possible. The biologic width, the dentogingival complex, and the gingival morphotype determine the principles of incision. Mucosal and mucoperiosteal flaps, as well as a combination thereof, keep obstruction of the soft tissue blood supply to a minimum and permit full coverage of the surgical field.