Dental implants, which are usually foreign matter to patients, are surgically inserted into or onto the jawbone. These alloplasts are used to support a single prosthetic tooth and serve as either abutments or cosmetic products for missing teeth. Several methods have been conducted to satisfy patients and surgeons. Flapless implant surgery, a more accepted procedure by patients and doctors nowadays, which uses the soft tissue punch device requiring a circumferential excision of keratinized tissue at the implant site may guarantee predictable and esthetic results. This review aims to analyze literature published in the field of implantology with flapless surgery, to compare traditional flap implant surgery and the latest flapless implant surgery, to illustrate the current scientific evidence and the new developments of this technique.is not strong enough and deformed. The second one is the most useful for needle knife instruments. More clinical study is recommended.