Book excerpt: This surgical atlas describes the multidisciplinary approach to treating pediatric velopharyngeal insufficiency (VPI) and reviews the diagnostic and therapeutic modalities involved. The publication begins with a review of the key anatomic features of children with VPI and focuses on a clinically relevant approach to surgical anatomy. How to perform nasal endoscopy and how to decide between different surgical treatments are key diagnostic questions when treating VPI, which are discussed in detail in this volume. Included with the published text are 5- to 7-minute-long narrated audio/video recordings of each surgery. The videos show the key surgical steps as well as the pearls and pitfalls of each surgical intervention. This publication gives an excellent overview of the various types of procedures, and it should prove to be essential reading for VPI surgeons, both the novice and experienced, who need to understand the relevant anatomy and the pearls and pitfalls of each of the various surgical procedures.