The Berkeley procedure in the treatment of unilateral cleft lip-nose deformity approaches the deformed ala as an anatomic unit, rotating and repositioning the entire ala into a proper anatomic perspective. Between 1971 and 1978, a total of 55 patients were operated on by means of the Berkeley procedure. The results were reviewed by physicians, patients, and parents as to aesthetic acceptability and anatomic alignment. Both criteria were uniformaly rated good to excellent. There were no immediate or late complications, and the scars were determined to be acceptable to excellent.