Dental implant surgery has traditionally been done through raising flaps, until recently when flapless surgery was advocated. The major challenges of implant placement include correct implant localisation / angulations and osseointegration. In this regard, many types of surgical guides have been proposed. This is a case report of implant placement using flapless guided surgery with a simple surgical guide. A 31 year old female with missing right maxillary canine and left 1st premolar was treated in a private hospital in Lagos, Nigeria. Two implants (BASIC: Bio Anatomical System Implant Corporation USA) with titanium-oxidised surface were proposed for placement. The patient was treated according to the protocol in the BASIC treatment manual. In summary, it involved design and fabrication of a surgical guide and flapless guided implant surgery. This minimally invasive flapless procedure offered less chair time with no complication. The accompanying 3 month osseointegrating period offered a comfortable post surgical period for the patient without compromised treatment outcome. The design technique involved the use of a periapical (P.A) radiograph, impression casts, P.A film overlay. All of which are affordable in a developing environment.