. I just watched an incredible surgery to close the worst cleft-palate i have ever seen in my life, on a 4-MO puppy; his siblings are all 35 to 40#, & he weighs NINE pounds. The cleft was a wide channel down the center of the oral roof; a narrow margin ran along the arcade of his teeth, & the entire middle was simply missing; his sinus was clearly visible, & he had NO soft-palate tissue. Dr Jeff undermines the tissue on both sides, & essentially butterflies it to try & cover the wide gap; his wife had to do the sutures, as his hands were too big, & he couldn't see the tissue he was trying to stitch. Sewing up a hole inside a hole, with a very limited field of view, is very awkward. His wife did a beautiful job, she managed to close it all the way to the soft tissues at the upper throat, so that no food can get up above the new membrane [he had been "sneezing" food out of his nose after every meal - it's a wonder he survived, from 3-DO to 4-MO! ]. He also had a naso-gastric tube installed, & he's staying at the clinic to be fed gruel with a syringe, adding H2O to canned food & making it a thin sludge for feeding. // Once his stitches heal, he can hopefully eat orally. I hope his stitches hold - it was a huge defect, & not much tissue to work with. _________________________________________________ WOW! - 14-days later, what a difference! that sad little pup, depressed & lethargic, is eating on his own, madly wriggly, all filled-out, not flat & scrawny, & he's gained THREE POUNDS, in a fortnight. // It's very unlikely that Slash will ever get close to his sibs' sizes, but he's not going to be a 10# midget, either. He's going home. .