Abstract: Background: Cleft lip and palate are among the most common congenital craniofacial anomalies, occurring when facial structures fail to fuse properly during early foetal development. These conditions can affect feeding, speech, hearing, and dental development, often requiring multidisciplinary care including surgery, speech therapy, and orthodontics. Early intervention typically begins within the first year of life, with long-term follow-up into adolescence and adulthood to address functional and aesthetic outcomes. Advances in surgical techniques and coordinated care have significantly improved quality of life for affected individuals. Here is such a case which highlights a young female adult with a history of childhood cleft repair, now presenting mild residual asymmetry and palatal irregularities..