Traumatic injuries to the anterior tooth are the most common finding in the day to day practice with the incidence of complicated crown fractures ranging from 2% to 13% of all dental injuries. The most commonly involved tooth is maxillary central incisor leading to damage of the crowns. Different treatment approaches are indicated for the management of fractured teeth, depending on their location. More difficulties are always faced when the fracture line extends below the bone level, orthodontic extrusion or surgical extrusion remains as a treatment option. Though orthodontic extrusion is an ideal approach, sometimes due to limitations of time or unavailability of the patient for a longer period of time, we have to opt for the surgical extrusion. So here is the case with traumatic anterior tooth managed with surgical extrusion.