The most common congenital deformity of the head and neck, cleft lip and pa
late, presents the surgeon with a unique esthetic and reconstructive challe
nge. The complexity of these deformities demands the skills of a multidisci
plinary team of professionals to optimize surgical outcome. This article di
scusses the embryology, epidemiology, and genetics of cleft lip and palate
and details the history and modern methods of their surgical correction, th
e proper goal of which is restoration of normal facial form and velopharyng
eal function.