Cleft Lip: Early Primary Repair.

This article synthesizes over a decade of institutional experience with more than 300 patients undergoing early cleft lip repair (ECLR) and presents a standardized, multidisciplinary framework encompassing patient selection, nutritional optimization, neonatal anesthesia, and refined operative technique. This article povides a practical, evidence-based roadmap for implementing neonatal cleft lip repair within a modern craniofacial program. By detailing selection criteria, perioperative workflows, and technical considerations, we offer a reproducible model that other institutions may adapt to their own resources and patient populations. ECLR has the potential to meaningfully reduce the cumulative surgical, financial, and psychosocial burden of cleft lip management.