The surgical removal of impacted third molars is one of the most frequent procedures performed by oral and maxillofacial surgeons. Patients undergoing the surgical removal of impacted third molar teeth usually experience significant postoperative pain, swelling and trismus. Pain, swelling and trismus after the surgery of impacted third molars are related to, in addition to other factors, the angulation and depth of the impacted tooth, the type of suture technique and length of the surgical intervention. In clinical practice, various measures are required to be taken to reduce the unwanted effects of post surgical inflammation. Various medications like NSAIDS, steroids and enzymes are being used to minimize pain and swelling. Apart from medications, time required for surgical procedure and surgical technique also distinctly affects the postoperative sequelae of the surgery. The purpose of this study was to compare the effect of tube drain in impacted mandibular third molar surgery.