Implant therapy has become a part of daily practice in modern dental medicine requiring clinitians to quickly respond to many of its challenges. Even though it is well known that oseointegration is an important factor of success in implant therapy together with optimal prosthetic restorations, greater focus has lately been put on the transitional zone between the implant and the suprastructure. Its role is in preserving peri-implant health, enabling plaque removal and the final aesthetic result of implantprosthetic therapy (pink and white aesthetics). The transitional zone is the transgingival part of implant abutment which needs to be adequately shaped to support or even shape the peri-implant soft tissue and make the transition between the round implant neck diameter and a tooth profile in the specific dental ridge area. The aim of this paper is to show the effect of various elements on the transitional zone appearance, such as the position and the diameter of the implant, keratinized tissue width and mucosal thickness, implant to abutment connection, etc. Furthermore, the techniques of peri-implant tissue shaping by using individualized implant abutments or healing abutments will also be presented as well as the techniques of transferring the emergence profile on definitive restauration. The overview of recent literature will examine the methods providing predictable and long-term stable result in shaping the transitional zone in both the aesthetic as well as the posterior region in cases of immediate implant placement with immediate loading or in delayed implant provisionalisation.