Palatal fistula following repair of cleft palate is a challenging problem and its repair is technically difficult. Many surgical techniques were described for management of postpalatoplasty fistula. Twenty eight patients with postpalatoplasty fistulas were repaired with Bipedicled mucoperiosteal flap with only 2 cases of recurrent fistulas (7.2%). Bipedicle mucoperiosteal flap utilizing the whole palatal mucoperiosteum is a reliable technique for repair of postpalatoplasty fistulas with a high success rate.