With prolonged use of tobacco and related products, slowly the skin of the cheeks loses flexibility and mouth opening becomes limited. This is a stage before full fledged oral cancer. The only option available for treatment of limited mouth opening due to tobacco (Submucous fibrosis) is surgery. No medications or injections or exercises can treat this condition. We use latest equipments and techniques like skin grafting for the treatment of this condition. Excellent results are obtained with surgery.