This text documents the work of an international team and their team approach to providing complete surgical and prosthetic rehabilitation for 23 adults with cleft lip and palate, all of whom were from the small town of Bauru in Brazil. Each patient had experienced significant functional and psychological problems and had not responded successfully to prior treatment. The text explains how the team of professionals provided comprehensive treatment including not only surgical repair of the defect and facial aesthetic improvement, but also speech correction, psychological issues, and prosthetic management, typically with osseointegrated implants. Each case study summarizes in detail what was achieved for the patient and explains how the team adapted their surgical and prosthetic experience to achieve successful rehabilitation. The text includes clinical photographs and a step-by-step analysis of each treatment plan and follow-up care.