Full mouth immediate load will be discussed from a unique prospective. The patients perspective . Testimonials from 2 weeks after to 8 years after treatment will be shown. We will look at the long term failures and what we have learned over the last 10 years, is it acceptable to treat everyone with one paint brush? We will demonstrate both surgical and prosthetic techniques using the latest treatment options available in immediate load. We will also look at some common errors and causes of failure both in the short term and long term. Surgical augmentation both hard tissue and soft tissue will be shown, that are used to correct these failures. Finally we will conclude that there is another option, a hybrid option that has better long term success both from the patients perspective and clinical perspective.