Both surgeries involve the removal of gum tissue. The main difference between the two procedures is that a gingivectomy removes diseased gum tissue surrounding a gum pocket while a gingivoplasty is performed to reshape gum tissue usually for cosmetic reasons. A gingivoplasty can be used in combination with a gingivectomy and there are also cases where a gingivectomy can be used for cosmetic procedures. Dr. Julie will advise on what is best for your needs.