Aim: Diverse careful factors expected to assume a part in postoperative course after lower third molar extraction. The point of study was to evaluate whether fold plan and term of a medical procedure can affect intense postoperative symptoms and signs after lower third molar extraction. Methods: Twenty-nine patients who were scheduled for lower third molar extraction were selected for this investigation and were randomly assigned to two groupings to fold configuration: group A (envelope fold) and group B (three-sided fold). Growth and lockjaw studied during a medical procedure on days 0, 2 and 7. Our current research conducted at Lahore General Hospital, Lahore from March 2017 to February 2018. Torment assessed for seven days after the medical procedure. The extreme torment after the procedure was chosen as the primary outcome variable. The ANOVA was used to study the contrasts between the clustering of the greatest postoperative agony, lockjaw and growth at days 2 and 7. Pearson's connection coefficient used to study the relationship between the duration of a medical procedure and postoperative indications and signs. Results. No critical contrast was found between the two fold plans for any postoperative indications and signs. The term of a medical procedure was discovered to be associated with both lockjaw (r = - 0.45, P = 0.07) and expanding (r = 0.58, P = 0.004) as surveyed 2 days after medical procedure. No affiliations were found between length of a medical procedure and most extreme postoperative agony and lockjaw and expanding at 7-day span. Conclusion: Inside the restrictions of the current investigation, the term of a medical procedure, and not the fold configuration, influenced the intense postoperative manifestations and signs after lower third molar extraction. Keywords: Flap Design, Postoperative Signs, Lower Third, The Molars.