Background:A palatal fistula is an abnormal communication or opening between the oral cavity (mouth) and the nasal cavity through the palate (roof of the mouth). The present study was conducted to assess cases of correction of palatal fistulas. Materials & Methods:58 cases of palatal fistulas of both genderswas recorded. The technique for primary palatoplasty, type of palatal fistula, size of fistulas and rate of complications was recorded. Results: Out of 58 cases, males were 38 and females were 20. Type of flap was anterior in 21, middle in 13, posterior in 8 and large palatal fistula almost involving whole palate in 6 cases. Size <2 mm was seen in 19, 2-5 mm in 32 and >5 mm in 7 patients. Type of surgery performed was tongue flap in 8, local flap in 7, Von Langenbeck palatoplasty in 37 and radial artery forearm flap in 6 cases. There were no complications in 52 and flap dehiscence in 6 cases. The difference was significant (P< 0.05). Conclusion: In contrast to local flaps, tongue flap continues to be the preferred flap for treating extremely challenging anterior palatal fistulas. Von Langenbeck palatoplasty has positive results for middle and posterior palatal fistulas. Key words: cleft palate, palatal fistula, Von Langenbeck palatoplasty