Rhinoplasties in cleft lip and palate (CLP) patients are considered one of the most difficult and challenging surgeries to carry out. The reasons understood for this are twofold: the principal reason being the simultaneous involvement of all the layers of the nose, including the skin, cartilage, skeleton and vestibular lining, and the other the significant scarring that accompanies multiple previous surgical interventions. The deformity has a major impact on nasal aesthetics as well as function and can range from being absolutely inconspicuous to catastrophic. This Book summarizes concepts of nasal physiology, cleft lip an palate and cleft nasal repair.