Accurate implant placement is essential for achieving long-term functional and esthetic success. Two main approaches are commonly employed: computer-assisted guided surgery and conventional freehand surgery. Computer-assisted techniques, supported by digital planning and surgical guides, provide superior accuracy, minimize anatomical risks, and improve prosthetic predictability. Freehand surgery, while more dependent on the clinician’s skill and experience, offers intraoperative flexibility, reduced preparation time, and lower cost. This presentation will compare both approaches, emphasizing their advantages, limitations, and clinical applications. ²Current evidence suggests that while computer-assisted surgery enhances precision and patient safety, freehand techniques remain valuable in selected cases where adaptability is required. A balanced understanding of these methods allows clinicians to optimize treatment planning and tailor implant therapy to individual patient needs.