The authors begin with a discussion of the anatomy relevant to palatoplasty. Perioperative considerations are then addressed. A broad range of surgical options has evolved over time; these are discussed in their historical context. The authors present a detailed description of their preferred surgical approach. Postoperative care is then described. An examination of recent trends and controversies in the field is then offered. Finally, an approach to outcomes assessment is discussed. It is hoped that this monograph will be of use in guiding others as they embark on the highly challenging, but equally rewarding, task of perfecting the palatoplasty.