Maxillofacial Surgeon Dr. S.M. Balaji skillfully performed the cleft palate correction with palatal pushback technique. A palatal flap was raised on both right and left side. The Levator palatine muscle was detached from their abnormal positions and reattached to its normal position like a hammock. A two layer closure – closure of nasal floor and oral floor - was done. Cleft palate repair was successful and results were immediately seen with a positive suction test where the soft palate muscles move upwards due to the vacuum created in the nasal passage with the suction that ensures improved speech