Background: Patient's perspective is analyzed on the treatment options when invasive treatments, such as implant, bone grafting, or vestibuloplasty become contraindication, and a noninvasive approach, such as conventional complete dentures became treatment of choice that could be done. Aim: This clinical report describes a modification of impression procedure and modification of occlusal scheme in fabricating complete dentures to manage flabby ridge, flat ridge, and prognathic jaw relation with posterior cross-bite at once in complete edentulous patient. Case report: A 66-year-old female patient was wearing single upper complete denture since her lower complete denture was broken a year ago. On clinical examination, there were flabby ridge on anterior and flat ridge on posterior residual ridges of maxilla. Moderate resorption was found on posterior mandibular residual ridges. Prognathic jaw relation with posterior cross-bite was discovered from tentative vertical dimension (VD) procedure. Conclusion: Modified impression procedure, which was used in this case for flabby and flat ridge on maxilla using clear processed acrylic resin tray with controlled minimally displacive impression technique, provides mucofunctional impression on posterior and mucostatic impression on anterior. Anterior artificial teeth were arranged to neutrognathic jaw relation without vertical overlap to avoid pressure on the flabby ridge. Modified lingualized occlusion was used to overcome flat ridge with posterior cross-bite. Clinical significance: Modified impression procedure used in this case was simple and can record abnormal residual ridges in its compressibility. The modified lingualized occlusion can help maintain the occlusal forces right on the crest of residual ridges without interfering the neutral zone. Hence, fabrication of a stable and satisfying denture can be achieved.