The CSH at Bagram Airfield evaluates and treats local Afghan national citizens on a humanitarian basis. In the period from November 2009 to November 2010, 17 patients with CL/P deformities were treated. Thirteen patients (76%) with CL/P were treated, while 4 (24%) were deemed to be of too poor health to undergo surgery due to low weight. These patients were offered nutritional support, and 1 patient received a nasogastric tube with feedings. The mean age at presentation was 5.9 years old (range, 1 month to 20 years). Eight patients presented with an isolated cleft lip or cleft palate, whereas the remainder (9) presented with CL/P. Of the remaining 9 patients, 4 patients underwent staged operations starting with a modified Millard rotation-advancement repair followed by the cleft palate repair at 1 month. A 5-year-old girl with right-sided unilateral cleft lip and palate deformity underwent this sequence of repair as shown in Figure 1. In her family, 3 of the 6 siblings were born with CL/P. Her older sister underwent revision of her bilateral cleft lip and palate repair at the same operative setting. There was no genetics evaluation available. Figure 2 depicts a 21-month-old patient born with a left-sided unilateral cleft lip with palate. Lateral displacement of the cleft-side nasal base and hooding of the ala contributed to the associated cleft nasal deformity. A deficiency in the red lip vermillion and attenuation of the orbicularis oris muscle on the cleft side were corrected using a modified Millard repair with cleft rhinoplasty techniques to reposition and align the left ala using soft-tissue dissection with buried horizontal mattress sutures. Given the lower lip pit, Van der Woude syndrome was suspected. Figure 3 illustrates a typical bilateral cleft lip deformity that occurred in 4 children in this cohort (25%). The 6-year-old girl shown herein presented with a bilateral incomplete lip deformity with malpositioned dentition. She underwent bilateral cleft lip repair. Given her age, presurgical orthodontics were not performed. Most of the patients (82%) were seen for evaluation at an advanced age. They experienced the speech and feeding problems, tooth decay, and psychological effects of this deformity due to delayed treatment.