Cleft palate fistula occurrence after primary palatoplasty has been reported to range from 0-63%, the most recent reports have quoted rates of 11 to 25%. The cause of these fistulas have been attributed to many factors, including the extent of clefting, the type of repair, the timing of repair, and operator experience. This report describes the postoperative cleft palate fistula incidence in a cohort of patients operated on using the Veau-Wardhill-Kilner method by a single operator at our institution. A retrospective review of charts for complete and incomplete non-syndromic cleft palate patients who underwent the Veau-Wardhill-Kilner method of repair by our senior author was completed. All patients with a cleft lip component were treated with a Millard rotation advancement at 3 months of age. Veau-Wardill-Kilner technique with muscle pushback was used to repair the cleft palate between 9-12 months of age. A total of 290 patients met the inclusion criteria for this study, and were treated by the senior author between 1984 and 2001. The incidence of cleft palate fistula in this series was 3.9%. This low rate of fistula is attributed to technical aspects of the cleft palate repair detailed in the study.