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Unilateral primary lip/nose repair, closed approach using the Dallas protocol presents step-by-step technique with 10 completed cases. Adjustments and corrections frequently used in the lip/nose repair are presented. A discussion of various techniques used today with their advantages and disadvantages is reviewed. Ten completed cases are presented with their long-term outcomes. Recommendations for developing countries regarding this and other techniques are made for the care of the unilateral primary cleft lip, nose, alveolus, and palate.