Specific alternatives to traditional complete denture therapy have been controversial because of the uncertainties surrounding effectiveness of retention. This article addresses the importance of retention, border molding, diagnosis, and treatment planning, and the meticulous attention to detail required throughout the treatment course of these alternative modalities. Indications, advantages, and limitations are also presented. Although these alternatives are not routinely used in making complete dentures, they have been successfully used for the treatment of the edentulous patient. Alternatives serve as valuable prosthodontic treatment options that greatly enhance denture aesthetics, and should be considered for edentulous patients.