A smile expresses a feeling of joy, success, sensuality, affection and courtesy and reveals self-confidence and kindness. The harmony of the smile is determined not only by the shape, position and color of the teeth, but also by the gum tissue. Gum tissue forms an important part of a pleasant smile. Melanin pigmentation of the gums, physiological or pathological, can be caused by a variety of local and/or systemic factors [1]. Hyperpigmentation of the gums causes cosmetic problems for some individuals, especially those with gummy smiles. These individuals may become more aware of black and dark pigmentation spots and require their removal, particularly if the hyperpigmentation appears on the facial part of the gum, thus being visible during smiling and speaking [1]. In recent years, there is a growing need for aesthetics and increasing cosmetic demands for a pleasant smile in many individuals. In particular, women are more aware of patches of black or dark pigmentation on the facial parts of the gums, which can be strikingly noticeable when smiling and speaking. Attempts have been made to address these aesthetic needs with various methods, which include mechanical, surgical, electrosurgical, cryosurgical, free gingival, and laser grafts [2, 3, 4]. Free gum grafting for depigmentation is a time-tested technique and remains the gold standard. Laser has recently been introduced for the treatment of gingival hyperpigmentation. Laser treatment is used to remove melanin pigment by ablating epithelial tissue. It requires melanocytes to be within its penetrating range and contain melanin to absorb and convert light energy into heat by photothermal...... middle of paper ......13]. Repigmentation rate in patients treated with free gingival graft was lower than with laser, however postoperative pain levels were highest in patients treated with FGG (score 3). In comparison the laser group showed no pain levels (score 0) and was more acceptable to the patient but with repigmentation patches were found at the 6-month follow-up. Conclusion: Aesthetic gingival depigmentation is considered successful if repigmentation is delayed, minimal, or absent. Whereas this FGG is more effective for treating pigmented gum, however, one of the major disadvantages of FGG is the need for a second surgical site and postoperative pain and discomfort. LASERs have been found to show minimal pain and discomfort, but repigmentation is greater than FGG, so the most effective treatment modality for complete depigmentation is FGG.