The innate fissure of lip and hard palate represents the most common inborn craniofacial oddity originated by unusual facial development through gestation. It varies in form and severity. The rehabilitation amounts to a committed approach of care for the afflicted child since its detection. The craniofacial team works together to arrange the complex surgical and nonsurgical treatment plan. The diverse stratagem has been endeavored to lessen the cleft space and achieve esthetic results postsurgically. The presurgical nasoalveolar molding (PNAM) technique represents an essential part of the treatment of child with orofacial split. It ameliorates the orientation of the palatal ridges and decreases the distance between the cleft lip segments, provides symmetry to severely disfigure nasal gristle. The case report presents a concise insight concerning PNAM approach in unilateral cleft lip and palate (CLCP) patient with excellent presurgical outcome.