Background: Cleft lip and palate is one of most common congenital craniofacial deformities. A congenital cleft lip deformity has significant physical and psychological. Successful repair of cleft lip deformity is a challenging as well as rewarding task. No one technique of cleft lip repair consistently produces ideal aesthetic and functional results.Objectives: To assess the Vermillion Symmetry and Scar Quality in surgical management of patients with unilateral cleft lip using Modified Millard‘s Technique Versus Fisher‘s technique.patient and Methods: This study was conducted on a group of twenty patients, younger than six months of age, who were born with unilateral cleft lip. Patients were selected from the outpatient clinic of Department of Plastic Pediatric Surgery, the Specialized Pediatric Hospital, Faculty of Medicine, Cairo University. All the patients were evaluated preoperatively, on 7th postoperative day , three months and six months follow up. Comparison between the two techniques was made keeping in mind the aesthetic and functional aspects of the repair.Results: There were small difference between the two techniques in notching of the vermillion border and symmetry of the free vermilion border was similar with both repair techniques. There are no scars in the nares, allowing for an improved nasal form with the Fisher technique compared to the rotation advancement flap. In the other areas of evaluation of the closure, there were no significant differences.Conclusion: No one technique of cleft lip repair consistently produces ideal aesthetic and functional results.