Case report of a female child about eight months of age presented to our outpatient clinic with bilateral cleft lip and palate. We are as team put plan to treat such complicated cases which need complicated and prolong series of surgeries, and supported by other specialties. Bilateral cleft lip and palate is a condition where there are openings or splits in both sides of the upper lip and the roof of the mouth. It is caused by incomplete fusion of the facial structures during fetal development. It is one of the most common birth defects and can affect the appearance, feeding, speech, hearing, and dental health of the child.