Gingival Flap Procedures are required when pockets are very deep and do not heal with conservative therapy. The depth of the pockets do not allow adequate cleaning and elimination of infection. Bone loss is moderate to severe and the gum attachment is lost. Surgical correction is required to eliminate chronic infection. Pockets are moderate to severe. By using a flap procedure access is gained to the root surface bony defects are corrected and inflamed tissue is removed.