Background: Gingival recession and root exposure represent a therapeutic problem to the clinician. Increasing interest in esthetics and the related problems such as hypersensitivity and root caries have favoured the development of many root coverage procedures. Recession coverage upto a certain extent has solved these problems, but these procedures need good maintenance after the surgery for long term benefits. With increasing advances in the field of recession coverage, microsurgery had added another dimension in undertaking the surgical procedure. Objectives: The aim of the study was to compare the clinical efficacy of coronally advanced flap combined with PRF membrane using the microsurgical technique with magnifying loupes and conventional surgical technique in the treatment of localized gingival recession. Materials & Methods: A split mouth study was carried out in ten patients with bilateral almost comparable isolated miller’s class I or II facial recession defects ≥ 2mm in anterior or premolar teeth. One site designated as group I underwent coronally advanced flap with platelet rich fibrin membrane using magnifying loupes and Group II underwent coronally advanced flap with platelet rich fibrin membrane using conventional technique. The clinical parameters were evaluated at baseline, 3 months, 6 months postoperatively using clinical recession depth, probing depth, clinical attachment levels and width of keratinized gingiva. Results: Both groups showed significant clinical improvement in all the parameters. Although, the results were slightly better in group I but, on comparing both the groups, these parameters did not reach statistical significance. Conclusion: The microsurgical and conventional techniques provided a statistically significant reduction in gingival recession height. After 6 months, there was no statistically significant difference between the techniques regarding root coverage. Key words: Flap, PRF