The care of the cleft patient begins soon after birth. Counselling the patients about feeding, explaining to them the nature of the deformity, allaying fears and misconceptions start soon after birth at our out-patients clinic. The cleft lip and palate child requires surgery for the cleft lip at about 6 months, repair of the cleft palate at around 1 year, improvement of minor deformities of the nose at 5½ - 6 years, Alveolar bone graft for proper eruption of the teeth at 7 years, surgically bringing the upper jaw forward for gross deficiency of growth after 16 years with orthognathic surgery.