Cleft lip and palate are craniofacial congenital abnormalities that impact thousands of children each year throughout the world. These are delicate subjects for discussion, sometimes clouded by the stigma of physical birth defects and cultural myths. The aetiology of cleft lip and palate is discussed in this article, as well as the typical management of patients with oral-facial clefts, which includes lengthy supportive care and an inter- professional team or cleft team approach that extends beyond surgical correction.