A number of surgical procedures have therapeutic goals to restore the gingival tissue to the level of the cementoenamel junction with attachment of soft tissue to the previously exposed root surfaces. These procedures are indicated where esthetic needs, root sensitivity, or shallow carious lesions involve the root surfaces. Surgical innovations over the past decade have enabled the periodontist to correct these problems. Case reports of root coverage by combined surgical procedures are described and presented. These reports illustrate greater predictability and improved esthetics compared to other surgical possibilities.