A diastema, or maxillary anterior spacing, is an esthetic problem that presents a higher prevalence in the maxilla than in the mandible and has a multifactorial etiology. The prevalence of midline diastema is high in the south indian population. Hence the treatment modality available for space closure are orthodontic treatment or veneers. When we come to know which treatment is preferred by the patients, more knowledge and awareness can be spread among dentists in India regarding closure of diastema as this case is encountered more often in clinical practice. Till date there is no existing studies on treatment options chosen for midline diastema closure from a patient's perspective. The aim of this study was to determine the patient preference on anterior space closure by orthodontic therapy or prosthodontic management. Case records of patients who visited the department of Orthodontics and Prosthodontics at Saveetha Dental College from June 2019 to March 2020 was reviewed. 239 patients who fulfilled the inclusion criteria were included in the study. The data was analysed through chi square. It was observed that 97% of the patients preferred orthodontic treatment and 3% of the patients preferred veneers. Within the limitations of this study, it was concluded that patients with midline diastema preferred orthodontic therapy than prosthodontic management