The Smile Train Project is an international charity dedicated to poor children with cleft lip and cleft palate abnormalities with an aim to restore normal or near normal anatomy, function, satisfactory facial appearance and speech. A review was done among 241 patients of cleft lip and palate anomaly, admitted at Subharti Medical College, Meerut, for cheiloplasty and palatoplasty between May 2006 and December 2008 in collaboration with the department of maxillofacial surgery and its incidence in relation to age and sex distribution. Ideally infants with cleft lip alone should be repaired within the first six months of age and cleft palate should be repaired before development of speech ie, at the age of 2 years. But in this study only 25% of patients who underwent corrective surgery were up to 2 years of age and more than 47% cases were operated between the ages of 2 and 10 years. Sixty-six cases (27%) were operated between ages of 10 and 35 years. It may be due to ignorance, poverty or unawareness about the fact that cleft anomaly can be corrected by surgery. Without repair, these children would have suffered from facial disfigurement, feeding problems, social isolation and abnormal speech. Smile Train Project along with motivation of health workers of this institute has made their smiles more socially acceptable.