Implant rehabilitation in severely atrophied maxillae presents substantial challenges for achieving optimal implant placement aligned with prosthetic goals. This review surveys current literature, encompassing internet sources, manual searches, and standard dental implant textbooks.It emphasizes the critical role of comprehensive knowledge in conventional augmentation procedures, including bone augmentation techniques, guided bone regeneration, alveolar distraction, maxillary sinus elevation with or without grafting, and contemporary implant placement techniques. These approaches collectively offer effective, long-term solutions for managing atrophic maxillae.