Implant treatment is regarded as a safe technique with high rates of success. Nevertheless, it has, as every surgical procedure, several complications that can occur and that must be known in order to prevent or solve them. Implant surgery complications are frequent occurrences in dental practice and knowledge in the management of these cases is essential. While dental implants are increasingly becoming the choice of replacement for missing teeth, the impediments associated with them are progressively emerging too. The aim of this review was to highlight the challenges of treatment plan-related, anatomy related and procedure-related surgical complications as well as to discuss the etiology, management and treatment options to achieve a satisfactory treatment outcome.