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Cleft orthognathic surgery is part of a complex sequence of treatments that are offered by specialist teams to manage the functional and cosmetic concerns of CL/P patients. It has considerations unique to this population and requires special planning with coordination of all members of the multidisciplinary care team. The outcomes of well-coordinated orthognathic surgery for cleft patients can be excellent; however, increased risks of relapse exist when compared with conventional patient populations. For this reason, particular surgical approaches and techniques are used to ensure the best possible results for this patient group.