Composite defects are a result of the loss of hard and soft tissue associated with tooth loss. The reconstruction of composite defects can be challenging and unpredictable, which is especially critical in the esthetic zone. This presentation will discuss the diagnosis and treatment planning of hard and soft tissue reconstruction in the esthetic zone of the partially edentulous patient in preparation for implant retained restorations.  Evidence based surgical and prosthetic techniques will be discussed, including various bone and soft tissue graft materials, barrier membranes, and prosthetic options to address the challenges and limitations involved when treating such defects.