In poor communities, patients may suffer from health conditions requiring special management that are not available locally. Missionary visiting teams have attempted to address these issues in collaboration with local healthcare authorities. Children with craniofacial anomalies represent one of these challenging issues. Here we present the senior author’s experience in management of rare craniofacial anomalies during missionary visits to Yemen highlighting outcomes of management of rare and challenging craniofacial anomalies using simple techniques of soft tissue repair adhering to the community limitations and lack of facilities.