Palatal fistula is a common surgi­cal problem after palatoplasty. Differ­ent surgical techniques have been adopted for repair of such defect with a great variability of advantages and disadvantages. So, the aim of the present study is to evaluate palatal mucoperiosteal free graft as a new option for repair of anterior palatal de­fects after palatoplasty. The graft has been utilized for repair of anterior pal­atal fistula in 13 patients admitted at Pediatric Surgery Unit and E.N.T. De­partment during the period between 1999 to 2001. Patients were followed up postoperatively for a period up to 31 months. The repair was completely successful in 10 patients (77%) with good take of the graft, excellent tissue matching and without any minimal leak. So, the graft can be utilized suc­cessfully for repair of palatal defects 297 after palatoplasty.