Dental implants are one of the most exciting and rapidly developing aspects of dental practice. In the last two decades a great deal of activity in the field has occurred with the development of better materials and newer techniques that have resulted in improved clinical performance of implants. Moreover, the individual healing potential of the fresh extraction socket as well as the implant surface characteristics may provide better opportunities for osseointegration. With careful patient selection, immediate implant placement, particularly in the esthetic zone of the mouth, has gained acceptance among the scientific community. The aim of this article is to present the clear understanding about immediate implant placement in detail.