The aim of this investigation was to compare the graft uptake in overlay and underlay system in myriongoplasty. The examination led among 50 patients in Sree Balaji Medical College and Hospital. Among 50 patients 25 patients underwent overlay and 25 patients experienced underlay strategy. This study concludes that underlay technique should be preferred compared to overlay method, but the ultimate decision about the technique to be employed depends on the surgeons preference and the site of perforation.