Surgical gingivectomy involves removing the pocket wall and smoothing root surfaces to eliminate suprabony pockets and provide access for calculus removal. This creates a favorable environment for gingival healing and restoration of a healthy contour. Indications include deep pockets where bone defects cannot be corrected or aesthetic concerns. Contraindications include pockets below the mucogingival junction. The procedure involves exploring each pocket with a probe, removing the pocket wall and granulation tissue, then covering with a surgical pack. Healing occurs over 1-2 months as granulation tissue forms and epithelium migrates over it.