Periodontal regenerative surgery aims at the recovery of lost tissues which further might lead to compromised esthetics, disturbed phonetics, and unpleasant appearance especially where aesthetic zone is the area of interest. Papilla preservation flap (Takei 1985) allows maintenance of intact interdental papilla in contrast to papilla splitting techniques. This case report aims towards assessment of papilla preservation flap in the treatment of a 27 year old female with generalized chronic moderate periodontitis leading to pathological migration in anterior esthetic zone, with 9 months follow-up.