Inclusion Criteria:  All patients undergoing primary cleft palate repair at Ann & Robert H. Lurie Children's Hospital of Chicago during the enrollment period. The typical child at the time of cleft palate repair is age 11 to 12 months.  Exclusion Criteria:  Children with a known allergy to local anesthesia (i.e., ropivacaine or bupivacaine). Children with prior surgical repair of the palate.