When a child has undergone cleft palate repair, this is a great concern for parents. In fact, the evaluation of cleft palate surgery results covers many aspects, soft palate movement, palatopharyngeal closure, surgical scar, occurrence of palatal fistula, etc. One of the most important indicators is the recovery of palatopharyngeal closure function, which is a very specialized content and difficult to be judged by non-voice experts. Therefore, parents of children are asked not to rush to intervene in this area of understanding, but to listen to the doctor’s arrangements, including the content of the follow-up jaw examination. In addition to palatopharyngeal closure problems, palatal fistulas, and alveolar fissures, it may be a temporary sign that the surgical wound has not healed long enough and that the palatopharyngeal closure function or coordination has not yet fully recovered. Palatal fistula and alveolar fissure are not the same thing. Palatal fistula can occur in any part of the trauma, mostly in the uvula, hard and soft palate junction and hard palate, while alveolar fissure is a pre-existing alveolar protrusion in the area in front of the incisors. According to the surgeon, not all cleft palate repairs are performed with alveolar cleft gingival mucoperiosteal flaps, and if they are not, there will still be fluid returning from the nostrils after the cleft palate surgery. If a palatal fistula occurs, parents should not be nervous. Depending on the degree of deformity, the surgeon will make a considered choice when performing the surgery. The general rule of thumb for cleft palate repair is “posterior rather than anterior”, meaning that in more severe deformities, the palatopharyngeal closure necessary to restore clear speech is moved back a great deal, preferring to accept the risk of anterior palatal leakage. Also, palatal fistulas can be large or small, and not all of them require early repair. Some studies have shown that the effect of palatal fistulas on speech is not related to the site where the fistula is located, but is closely related to the size of the fistula. When the fistula is larger than 5 mm in diameter, a pronounced nasalized speech occurs. Therefore, palatal fistulas smaller than 5 mm can be temporarily left unrepaired, and deferred surgery has some significance in terms of interference with jaw development. Small palatal fistulas at the junction of the soft palate or hard and soft palate will most often close gradually after 6 months or will not affect the voice, and only those fistulas that remain after 1 year and affect the voice need to be considered for repair surgery.