The author presents the sequelae of labio-maxillo-palatal clefts in the specific framework of one surgeon’s professional experience in an overseas community; in terms of their surgical anatomy, showing the palatal, maxillary, and labio-nasal sequelae in order, emphasizing the intimate relationship of the lesions, which are most intricate in cases of complete labio-palatal clefts, and also the necessity of the treatment team’s taking a global approach in the techniques of facial surgery so the results will be well adapted to the social needs of patients.