Gummy smile is a type of smile where there is too much visible gingiva when the patient smiles. There are many reasons, such as vertical excessive development of the maxilla, short upper lip, hypermobility of the upper lip, late passive eruption of the teeth, late active eruption of the teeth, abrasion and elongated teeth. All of these reasons may be connected or they may pose as a separate problem. For every reason there existes a different treatment option, such as ortognathic therapy with orthodontic therapy, periodontal-oral surgical therapy (gingivectomy, gingivoplasty, osteoctomy, osteoplasty), botulinum toxins therapy, stabilization technique for the upper lip, plastic surgery of the upper lip and frenulectomy. The listed treatments are commonly combined in a multidisciplinary treatment approach. A detailed face analysis should be performed before commencing with any kind of procedure. With face analysis, we are able to check all the elements of the macro esthetics, mini esthetics and micro esthetics. When the detailed face analysis is completed, we can determine the reasons for gummy smile. This is the basis for the right treatment choice