This study was designed to comparesubjective and objective assessment of lateral videoflruroscopyin patients with velopharyngeal valve incompetence. It is prospective randomized blind study of lateral videofluroscopic recordings whether subjectively by 3 different examiners or objectively.19 consecutive patients with previously repaired cleft palates and symptomatic velopharyngeal incompetence (VPI). The results of this study no significant difference between subjective and objective evaluation of velar length (P value =0.113) or velar thickness (P value = 0.752). So subjective assessment of velar length and thickness is effective in comparison with objective assessment and further research on a big sized sample is recommended.