A handsome young male patient in his late twenties approached us at Richardsons Dental and Craniofacial Hospital, Nagercoil for Anterior maxillary distraction surgery in the month of monsoon with the history of congenital cleft lip and palate. Multiple surgeries were undergone for the correction of the same since childhood. From a detailed conversation with the patient, we understood he had unhappy surgeries previously. Miserably he had lost all his back teeth in the lower jaw. On questioning about his tooth loss patient informed us that the previous surgeon planned on setting his lower jaw back, therefore advised his extraction.