This document presents a case study on the treatment of ranula, a cyst forming in the floor of the mouth. It evaluates various treatment modalities including injection sclerotherapy, marsupialization, and different excision methods. It describes a case of a 13-year-old female with a ranula who underwent transcervical excision. The cyst was successfully removed in its entirety through a submandibular incision. Histopathology confirmed the diagnosis of ranula. While sclerotherapy only provides partial relief, excision is the ideal treatment but difficult, with marsupialization having high recurrence rates.