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Periodontal plastic surgery in aesthetically demanding zone has always posed a challenge to the clinician due to high expectations on part of the patient. In spite of array of advancements in the field of material science and regenerative techniques, predictable results are still far from reality. Among the regenerative materials, sub-epithelial connective tissue graft has stood the test of time in periodontal aesthetic surgeries. Nevertheless, with the better understanding of connective tissue graft some contentious issues regarding its application have been raised and clinicians should be aware of these issues before its practical implication. This commentary will shed light on such controversial issues and explore some of the recent advances in the utilization of connective tissue graft in interdisciplinary dental care.  Keywords: Sub- epithelial Connective tissue, Perio plastic surgery, Root coverage, Regeneration, Esthetic surgeries.

New perspectives on the contentions and contemporary role of sub-epithelial Connective tissue graft