The interaction and consultation between various disciplines enhance understanding of the possibilities and limitations of the various disciplines involved. A very important aspect is the multidisciplinary meeting where a holistic approach of treatment is carved. A typical multidisciplinary clinic consists of a Surgeon, Pediatrician, Orthodontist, speech therapist, and referral to other specialists for ailments not specifically related to this deformity. Orthodontist is one of the team members where the patient generally receives comprehensive orthodontic treatment at various stages depending on the type of deformity. The patient born with soft palate deformity may never require orthodontic intervention. However, a patient with complete bilateral cleft lip alveolus and palate may require orthodontic treatment as an Infant for nasoalveolar molding, mixed dentition treatment for crossbite correction, full fixed appliances for permanent dentition, and pre,post-surgical orthodontic correction. We are involved and committed to the treatment of these severe facial malformation and disfigurement.