Maxillectomy is one of the most common procedures performed by oral and maxillofacial surgeon. Various classification systems exist in literature to describe the surgical defect, left behind after maxillectomy. Success in Maxillofacial defects depends on the principles of facial harmony, retention, durability, tissue compatibility & tolerance. The Velopharynx is tridimensional muscular valve located between the oral and nasal cavities, consisting of lateral and posterior pharyngeal walls and the soft palate & controls the passage of air. Cleft palate is the most common cause of velopharyngeal insufficiency. Velopharyngeal insufficiency may take place when the velopharyngeal valve is unable to perform its own closing, due to lack of tissue or lack of proper movement. Treatment options include surgical correction, prosthetic rehabilitation & speech therapy; though optimal results often require a multidisciplinary approach for the restoration of anatomical and physiological defects. This article is a case report of the treatment procedure done for a young patient with cleft palate and velopharyngeal insufficiency.