Advances in dental implant design and surface treatment beside the growing interest in dental esthetics have made a paradigm shift in implant dentistry. Instead of focusing on achieving successful implant osseointegration, constructing highly esthetic implant restoration and shortening the total treatment time have become the area of interest. The new philosophy has supported the protocol of immediate implant placement that showed high success rates and esthetic results. However, careful case selection and meticulous prosthetic and surgical implant planning are essential. This review discussed and summarized the important factors affecting case selection and implant planning to achieve an osseointegrated immediately placed implant with satisfying esthetic outcomes. The affecting factors were categorized into patient-related and clinician-related factors. Patient-related factors were periodontal phenotype, post-extraction socket type, presence of infection, smoking and esthetic risk assessment analysis. Clinician-related factors included position and design of the implant, jumping gap dimensions, surgical technique for implant placement, and socket-sealing technique.