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Children undergoing cleft palate repair present challenges to postoperative management due to several factors that can complicate recovery. Utilization of multimodal analgesic protocols can improve outcomes in this population. We report experience designing and implementing an enhanced recovery after surgery (ERAS) pathway for cleft palate repair to optimize postoperative recovery. The primary aim was to implement an ERAS pathway with 70% bundle adherence to achieve a 30% reduction in postoperative opioid consumption within 12 month