Cleft lip and palate are a congenital birth defects describing an abnormal gap in either the upper lip or the palate. Early techniques of cleft lip repair involved a straight-line technique (Pare, 1958), the triangular flap technique or inclusion of some geometric line (triangular, quadrangular closure) - popularized by LeMesurier in 1945. Korea post war was an underdeveloped country in which cleft lip and palate were very common among infants. Cleft lip and palate have a higher incidence among Asian populations. Dr Ralph Millard while serving as a Plastic Surgeon at the US Marine camp developed a pivotal technique dubbed the Millard Rotation-Advancement method in 1955 immediately after the Korean War following extensive cleft lip repairs among Korean infants. In 1955 after returning to the US he developed the two-stage rotation-advancement approach in bilateral incomplete cleft lips. The design of this was based on a curved line on the non-cleft side as means to balance the lip height discrepancy, nasal and philtrum width. The technique emphasized minimal tissue discard and was a “cut as you go approach” with the placement of scars that better respected anatomical borders. Over the past 60 years since the invention of the Millard Rotation-Advancement method this is used by more than 85% of cleft surgeons around the world with or without some modifications.