Craniofacial surgeons around the world are striving toward a critical goal: making high-quality cleft palate and craniofacial reconstructive surgical services available to children in developing countries. An update on the state-of-the-art in cleft and craniofacial care-presented at last year's fifth Congress of the International Cleft Lip and Palate Foundation, sponsored by the World Craniofacial Foundation (WCF)-is published in a special supplement to The Journal of Craniofacial Surgery, under the editorship of Mutaz B. Habal, MD, FRCSC.