Objective: The purpose of this study was to compare one stage lip and palate repair with two stage repairs with respect to clinical outcome, complications and psychosocial impact. Settings and Design: This was a prospective study of patients with cleft lip and cleft plate operated between June 2015 to May 2018 by the same surgeon Materials and Methods: Between June 2015 to May 2018, 280 patients underwent surgery of cleft lip with cleft palate out of which 181 cases had single stage lip and palate surgery (CLP) and 99 (CL followed by CP) patients have completed both stages. Results: The average time for one stage (CLP) was 1 hour and 30 minutes compared to 2 hours for staged surgery (CL+CP). The group undergoing single stage lip and palate repairs had 4.9% fistula rate compared to 12.1% from the other group. Speech evaluation of both groups was comparable with no significant improvement above 5 year group. The single stage group was 32% more economical with lesser hospital stay and follow ups. Conclusions: Fistula rate was higher in the staged group. The patients save time and gain economically in the single stage group with less psychosocial trauma. There is no scope for drop out for palate surgery in the single stage group.