Nitte Meenakshi Institute of Craniofacial Surgery has been involved in free of cost multidisciplinary management of patients with cleft and craniofacial deformities for over a decade. The institute is funded by Cleft Children International, Zurich and Smile Train, USA which enables conduct of free surgeries for cleft lip and palate and complex craniofacial defects. Screening camps are organised every week in most interior parts of Karnataka and Kerala to identify, diagnose and treat such needy patients. Facial aesthetic surgeries free of cost are conducted for poor patients. The departmental annual budget is around 2 crores which covers the entire spectrum of patient care including surgery, medicines, food and transportation. Apart from these surgeries, free dental health care including orthodontic treatment and dental rehabilitation is provided. As far as aesthetic and functional results are concerned, the treatment outcomes are peer reviewed and audited for quality control.