There is a debate between intraoral and extraoral incisions for once cleft lip and occult cleft lip. In fact, neither of these concepts represents the technical issues related to the repair of this type of cleft lip, it is just that this classification is more intuitive and easily understood. What is important in the repair of any deformity is often not which popular concept is used to illustrate it and which trendy technique is used to solve it, but rather the appropriate method to achieve the best repair result. In the patient with a first-degree cleft lip shown below, the repair method was not an extraoral incision, but not strictly intraoral either, but the long-term results were as one would expect. Therefore, instead of sticking to the surgical procedure, it is better to carefully analyze where the patient’s deformity lies and then choose the appropriate method to correct it according to its characteristics. Before the first degree cleft lip surgery, the patient’s upper lip at the age of one week The patient’s upper lip at the age of 3 weeks The patient’s upper lip at the age of 9 weeks