Aim: The present study was aimed to assess the success of immediate implants in the anterior esthetic zone. Materials and methods: Fifteen patients with 15 teeth to be replaced were selected for the study. After extraction, the socket was thoroughly cleaned and curetted with betadine and saline. Using physiodispenser and drills socket was prepared for implant insertion and implants were placed with initial stability with hand motion followed by complete insertion with hand ratchet. The socket was closed with 3-0 silk and medications were given with instructions to care for wound and recall after 1 week. The variables were measured postoperatively according to clinical parameters, i.e., mobility, exudate, pain, patient satisfaction score at a regular interval of 1, 3, 6 and 12th month. A p value of < 0.05 was considered as statistically significant. Qualitative data were analyzed using the Fischer exact test. Results: The mean age was found to be 23.33 years (range 14–38 years). There were 13 (86.6%) males and 2 (13.4%) females. Central incisors were replaced in 12 (80%) patients, lateral incisors were replaced in 2 (13.33%) patient and 1st premolar was replaced in 1 (6.66%) patient. No pain, exudates was experienced by any of the patients in all 4 follow up scheduled. Only 2 (13.33%) implant which was experienced mobility of grade 1 at 12 months follow-up. Three (20%) patients had satisfaction scores of 8, 6 (40%) had a satisfaction score of 9 and 6 (40%) had a score of 10. Thus, the majority of patients were very happy with the implants placed. Conclusion: In conclusion, the present study has shown that immediate placement of implants in the anterior esthetic zone has a predictable success rate with good patient acceptance. Clinical significance: Clinically, placing an implant at the time of extraction has more advantages like healing time reduction, helps maintain alveolar architecture, surgical interventions will be decreased. So it helps enhance the success rate.