Although cervical lesions are commonly treated using restorative materials, the esthetics and durability of the restoration can be problematic. Despite improvements in bonding to dentin, the performance of resin-based cervical restorations suffers from a variety of clinical problems. Biologic options using connective tissue grafts to replace the lost soft tissues have proven longevity and esthetic benefits. A collection of case reports is presented to demonstrate a surgical alternative to correct carious and noncarious cervical lesions. Clinicians should consider the biologic option of replacing the missing gingival tissue prior to placement of restorative materials on exposed root surfaces.