Abstract: Oral ranula is a retention cyst arising from the sublingual gland on the floor of the mouth as a result of ductal obstruction and fluid retention. There are various techniques to manage ranula in the literature. There is no doubt that excision of the offending sublingual gland will cure all ranulas. Still, some surgeons prefer to initially treat ranulas by marsupialization, perhaps because of the potential surgical complications when removing the sublingual gland, most notably injury to the lingual nerve, injury to Wharton’s duct with the possibility of stenosis leading to obstructive sialadenitis, and ductal laceration causing salivary leakage. This paper highlights a case report of ranula in the floor of the mouth which was about 2cm and has been successfully treated by marsupalization and low level laser therapy. (LLLT)