Dr. Balaji performed the cleft palate repair using Palatal pushback technique. Incision was made in the mid-vomerine region. The palatal flap was raised on both right & left side. The Levator palatine muscles were detached from their abnormally attached positions and reattached into normal position like a hammock. A two layer closure was done. The nasal floor was closed with the vomerine flap making a reverse knot. Oral layer was sutured by vertical mattress sutures. The vertical mattress sutures produce a ridge of thick mucoperiosteum as the flaps are approximated to each other in the midline. The suction test was positive which guarantees good speech.