Background: Orofacial clefts involve several congenital deformities most often presented as cleft lip and palate. The best management of a child with cleft lip requires a coordinated effort including the fields of otolaryngology, maxillofacial surgery, plastic surgery, speech therapy, pediatrics, orthodontics, nursing, psychology, audiology, genetic counseling, and social work. Aim and objectives: To compare the results of primary rhinoplasy and primary simple cheiloplasty in infants with unilateral complete cleft lip nose according to symmetry and parents' satisfaction. Subjects and methods: This is an intervention study, carried out in the plastic surgery department, Zagazig University Hospital in the period from December 2017 to June 2019. The study included 26 patients who had unilateral complete cleft lip nose divided into two groups (A & B) , group A included 13 patients who had primary rhinoplasty, while group B included 13 patients who had simple cheiloplasty. All patients were subjected to complete history taking, full clinical examination, laboratory investigations including complete blood count, liver function tests, renal function, and coagulation profile tests. Patients were admitted to the hospital and the operations were done with general anathaesia. Results: Operation time was significantly higher in group A. There was no significant difference between both groups regarding complication frequency. There was a significant difference between both groups regarding bilateral nasal symmetry in favor of group A. Conclusion: The use of primary Rhinoplasty in all cases of cleft lip-nose has yielded cosmetic results and balanced nasal development.