Background: Alveoloplasty is a term for pre-prosthetic surgical procedure following the extractions, that involves smoothening of rough alveolar bone on the edentulous area or trimming of bulbous tuberosities, which creates deep undercuts. In this study, conventional alveoloplasty technique involving crestal and releasing incision followed by mucoperiosteal flap elevation and bone contouring with round bur was compared with subperiosteal tunneling and piezoelectric bony contouring with piezo tips with respect to various parameters such as time for the procedure, healing of soft tissues, post-operative pain, and other post-operative complications. Material and Methods: The study comprised 16 edentulous patients having bilateral requirements of alveoloplasty on the alveolar ridge in the same jaw. Alveoloplasty was performed by round bur no.8 size on one side. In the same sitting the alveoloplasty on the contralateral side of the arch was done by US4 & US5 piezosurgical tips through the subperiosteal tunnel technique. Results: The post-operative sequelae such as pain, healing, and time were significantly high in the conventional group and swelling was equal in both groups. Conclusion: Piezosurgery unit is available in most of maxillofacial surgical setups. Wherever indicated tunneling technique with piezosurgery should be kept as an option for alveoloplasty. Keywords: Alveoloplasty; Pre-prosthetic Surgery; Piezosurgery; Alveolar Ridge Recontouring; Bony Prominences.