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After reading this article, the participant should be able to: 1. Recognize the clinical features associated with unilateral cleft lip, bilateral cleft lip, the cleft lip nasal deformity, cleft palate, and velopharyngeal insufficiency. 2. Describe the most frequently used techniques for repair of cleft lip and palate. 3. Diagnose and treat velopharyngeal insufficiency.This article provides an introduction to the anatomical and clinical features of the primary deformities associated with unilateral cleft lip–cleft palate, bilateral cleft lip–cleft palate, and cleft palate. The diagnosis and management of secondary velopharyngeal insufficiency are discussed. The accompanying videos demonstrate the features of the cleft lip nasal deformities and reliable surgical techniques for unilateral cleft lip repair, bilateral cleft lip repair, and radical intravelar veloplasty.