The management of the palatal cleft, dental arch, and Condiment Holders subsequent maxillary form is a challenge for the craniomaxillofacial surgeon.The purpose of this paper is to present the experience of a senior surgeon (KES) who has treated over 2000 patients with cleft lip and palate.This paper focuses on the experience of a recent series of 103 consecutive orthognathic Nipple Clamps cases treated by one surgeon with a surgical-orthodontic, speech-oriented approach.It will concentrate on not only correcting the occlusion, as others have described, but also on how a surgeon who was trying to achieve optimal aesthetic balance, harmony, and beauty, approached this problem.