Different surgical techniques have been described for surgical correction of patients having velopharyngeal disorders according to the pattern of closure of the velopharyngeal sphincter. A new technique is described that is suitable for all patterns of closure. The aim was to evaluate the efficacy of myomucosal resection and direct closure of the posterior pharyngeal wall, in the surgical management of patients having velopharyngeal insufficiency (VPI) and/or incompetence {Mahrous technique}. Thirty patients of both sexes who had velopharyngeal insufficiency (24) and /or incompetence (6) were selected for this study. Their age ranged from 4 to 10 years with a  mean age of 6.5 years. They were surgically corrected by mere myomucosal resection and direct closure of the posterior pharyngeal wall. They were phoniatrically evaluated preoperatively, 3 months and 6 months postoperatively by auditory perceptual assessment, videonasoendoscopy and Kay nasometer model 6200. Statistical analysis of the results documented a significant reduction in the velopharyngeal gap dimensions,  a significant reduction in the degree of open nasality, glottal articulation, and pharyngalization of fricatives. A significant improvement in the overall intelligibility of speech and audible nasal air emission was detected postoperatively regardless of the pattern of velopharyngeal closure. The results of this study demonstrated that myomucosal resection and direct closure of the posterior pharyngeal wall could be applied as a novel technique effectively in patients with velopharyngeal insufficiency and or incompetence.