Background: Gingival recession has become a serious problem since it has a high prevalence among the 88% population of the world. Various mucogingival therapy becomes treatment of choice for gingival recession, such as sub ephitelial connective tissue graft, coronally positioned flap, an acellular dermal matrix application. SureDerm as an acellular dermal matrix can be used for gingival recession treatment. Case: A 22-year old male patient came to Periodontics Specialist Clinic in Dental Hospital Universitas Airlangga with the chief complaint of dental hypersensitivity on the left mandibular posterior molar teeth when stimulates with heat or cold sensation. Methods and Treatment Results: Coronally Advanced Flap with Tunnelling technique was conducted using a scalpel and, TKN (Tunnelling Knife), with the additional use of acellular dermal matrix (Surederm). The success of this treatment depends on the technique and procedure used in this treatment, and is measured by the absence of further complaints and the correction of gingival recession. Conclusion: Coronally Advanced Flap management is related with pre-evaluation before surgical procedure and the basic of surgical procedure that is being used.