This book intends to cover cleft-related topics which are mainly focused on the current concept of balancing excellence in outcome and burden of cleft care. The wide spectrum of covered topics includes the understanding challenges and needs to deliver the modern surgical cleft care worldwide and comprehending multidisciplinary-based longitudinal life-changing concept. The chapters are focused on professional-friendly technical descriptions from diagnosis to execution such as nasoalveolar molding, cleft lip repair, cleft palate repair, myringotomy tube insertion, primary and secondary rhinoplasties, oronasal fistula reconstruction, velopharyngeal insufficiency management, virtual-aided alveolar reconstruction, surgery-first approach in cleft orthognathic surgery, 3D computer-assisted orthognathic surgery, revisionary surgeries, and postoperative care.