Background: Dental implants can be done with different surgical protocols. Each surgical protocol has its advantages and disadvantages. Aim: The aim of this study was to evaluate the implant flapless technique as a successful patient relevant treatment option. Methods: the files of 84 flapless implant patients were retrospectively reviewed and analyzed for success and failure. Results: A total of 238 dental implants were done by flapless technique. 224 (~ 94%) flapless dental implants were clinically and radiographically successful through the follow-up period. Fourteen (~ 6%) dental implants showed signs of failure for several reasons upon different time intervals and were analyzed. Conclusions: Minimally invasive flapless dental implants surgery offers a predictable patient focused successful outcome.