The color of normal gingiva has been described as variable, ranging from pale pink to deep bluish. Between these normal limits, there are many color variations that depend on three factors: the intensity of melanogenesis, the degree of cornification, and the degree of vascularity. Color changes in oral mucosa can be attributed to the deposition of endogenous or exogenous pigments. The distribution of these pigments in oral mucosa varies greatly, ranging from focal macules to broad diffuse tumefactions. The specific coloration, tint, location, multiplicity, size, and configuration of pigmented lesions are diagnostically important. Various treatment modalities have been used to eliminate pigmented gingivae for an aesthetic appearance. Lasers and the use of Alloderm are new approaches that have given promising results.