This chapter defines and elaborates on what is meant by "immediate loading." Dynamic guided implant surgery (dCAIS) or navigation uses advanced technology to facilitate precise implant placement based on cone-beam computed tomographic (CBCT) planning. Immediate implant placement with immediate loading requires a full understanding of the biological and technical essentials involved. The most crucial determinant for success with immediate loading of immediate implants is their primary stability. Both immediate non-occlusal and immediate occlusal loading can favor faster peri-implant bone formation. Internal conical connection implants are used for immediate non-occlusal and immediate occlusal loading provided that they are placed subcrestal, incorporate a platform switch feature and have peri-implant soft tissue thickness of 3 mm. Biconometric implant crown-to-abutment attachment can replace other forms of prosthesis retention. A novel approach meant to accelerate healing with immediate loading of immediate implants is discussed.