Background: The increasing number of pediatric patients with cleft lip-palate and craniofacial anomalies is a nuisance problem in the Northeast of Thailand. These patients have complicated problems including physical health, psychosocial, and poor quality of life; therefore, a multidisciplinary care team was established, named Tawanchai center. This study encouraged
the improvement of the quality of holistic healthcare service system to improve the quality of life the patients and their families. Anesthesiologists are important personnel in the facilitation of the surgical team, and to help improve other activities including academic, service and research.
Objective: To relate the perspective of anesthesiologist according to the role they play in the multidisciplinary team.
Material and Method: The database of Anesthesiology department and annual report from the period between June 2005 to July 2015 were collected and reviewed.
Conclusion: Highly-skilled and experienced anesthesiologist in the multidisciplinary patient care team play a vital role through the provision of advanced and specific knowledge to anesthesia management. The role of anesthesiologists should be researched to enhance the quality of anesthesia management, thereby contributing to national and international patient care team development.

Keywords: Cleft lip, Cleft palate, Craniofacial deformity, Anesthesia, Tawanchai center