Periodontal surgery involves access therapy to facilitate plaque removal and enhance long-term preservation of tissues. The decision on what type of surgery is made after initial non-surgical treatment. Gingivectomy specifically refers to excision of the soft tissue wall of a periodontal pocket. The procedure involves marking pocket depths, making beveled incisions at or below the pocket base, removing tissue, scaling roots, and applying a dressing for 10-14 days. The goals are to eliminate pockets and restore healthy tissue contours.