The frenum is a mucous membrane fold that attaches the lip and the cheek to the alveolar mucosa, the gingiva, and the underlying periosteum. The number of morphological variations of the maxillary frenum has been reported and no pre-set procedure can be used for all of them. Therefore, a careful assessment of the type of frenum is required for a tailor-made treatment to ensure complete removal of the frenal attachments to prevent re-attachment that may call for a second surgical procedure. This case series focuses on the various treatment procedures for maxillary frenum.