Any endodontic surgery is usually an extension of endodontic treatment undertaken to manage the challenges which are unable to be reduced or eradicated by nonsurgical endodontic therapy. (1) The aims of apical microsurgery are to eliminate the root end disease, to obtain a clear and thorough understanding of pulpal anatomy along with their complexities and the application of enhanced illumination and magnification. (2) Advanced technology with better visualization with microscope, improved obturating and retrograde filling materials, specially designed instruments, along with detailed insight of periapical wound healing have improvised the idea of contemporary “Microsurgical Endodontics.” (3)