An extremely high output power has been obtained with a new structure laser named the buried twin-ridge substrate (BTRS) laser. The very thin active layer formed on a ridged substrate permitted high power output increasing the catastrophic damage level. The buried stripe formed with a blocking layer remarkably improved the current confinement lowering the threshold current. A multilayer coating technique was applied to both facets to increase the front facet output. Fundamental transverse mode is achieved at more than 100 mW in CW with an uncoated laser while the maximum output power attained is as high as 200 mW in CW operation with a multicoated laser.