Background: Tooth extraction is considered to be highly distressing and belongs to the top 5 most fear evoking treatment in dental procedures.[1] Studies investigating the onset of long standing negative psychological response to dental treatment have shown that the severity of patient‘s current level of dental anxiety is significantly associated with the extent to which they experienced their past dental treatments as painful or otherwise traumatic.[2] It is important to prospectively examine the emotional impact of tooth extraction which is the most common potentially distressing surgical procedure practiced in Oral & Maxillofacial Surgery.[3] Objective: To prospectively examine the psychological impact of tooth extraction. Materials and Methods: A total of 100 patients participated in the study. All patients were informed about the study and were asked to sign an informed consent to confirm their voluntary participation. Data regarding psychological distress was collected using different variables like pain, anxiety and emotional disturbance by use of separate scales at 1–month follow–up. Results: 86% experienced mild pain, 12% moderate and 2% severe of total sample size. In which mildly anxious people were 81% and moderate were 19% of the sample size Conclusion: Findings of this study show that the emotional impact of tooth extraction is still on higher side, which suggests there is definitive need to follow stress reduction protocol to reduce emotional disturbance.