The earliest procedure in unilateral cleft lip nose management was concenterated by Victor Veau in his book at 1938. He used simple coaptation of the margins of the cleft after they had been surgically exposed. The results obtained with this technique were unfortunately consistently bad for many reasons but mainly because of poor surgical reconstruction of the labial musculature. Through the principles done by Veau and more recently by Delaire, there has been a re-appraisal to concept of primary cheilorhinoplasty in unilateral cleft lip management. Senior cleft surgeons as Millard, McComb and Salyer provided encouraging results after reviewing the long term results of simultaneous repair. They proved that there was no interruption of growth by early surgery and reported stable results up to 18 years after surgery. Aim and objectives: To assess the results of primary cheilo -Rhinoplasty in infants with unilateral complete cleft lip nose according to symmetry and parents’ satisfaction. Subjects and methods: This is an intervention study, carried out in the plastic surgery department, Zagazig University Hospital in the period from December 2017 to June 2019. The study included 13 patients who had unilateral complete cleft lip nose. All patients were subjected to complete history taking, full clinical examination, laboratory investigations including complete blood count, liver function tests, renal function, and coagulation profile tests. Patients were admitted to the hospital and the operations were done with general anathaesia. Results:the parents highly appreciated the results according to the cosmetic and regarding the symmetry there is no big difference between two sides from the eye view. Conclusion: The use of primary Cheilo- Rhinoplasty in all cases of cleft lip-nose has yielded cosmetic results and balanced nasal development.