Parental needs are discussed as they have been revealed during a six-year period in a Boston parents' group, Prescription Parents, Inc. In addition, professional responses at various stressful periods during cleft palate rehabilitation are examined and certain responses suggested. Emphasis is given to the professional-parent partnership in developing the child's self-image and also to the relationship between professionals and the patient, particularly from age six through adolescence. The role of the peer group as it interacts with the home environment is also stressed. Specific suggestions are offered concerning the influence of a parents' group and the specific services such groups can provide.