OBJECTIVE: To comparatively evaluate the effects of Sagittal TransForce appliance and Tooth borne Facemask appliance in Unilateral Cleft Lip and Palate patients. SETTING: Single-center prospective randomized clinical trial conducted in a hospital setting. SAMPLE POPULATION: Patients from the age group of 7-12 years with a repaired complete Unilateral Cleft Lip and Palate (UCLP) and GOSLON score of 3 requiring maxillary protraction and preparation for secondary alveolar bone grafting were selected for the study. MATERIALS AND METHODS: Patients were randomly divided into two groups of 18 patients each. Group I patients received tooth-borne Facemask therapy with Alt-RAMEC protocol and Group II received Sagittal TransForce appliance. Cone-beam computed tomography (CBCT) scans were done before (T RESULT: In patients treated with the TransForce appliance, a statistically significant difference was found in dental parameters like U1-NA angular (7.67° ± 1.49), U1-NA linear (2.01 ± 1.82 mm) measurement and U1-SN (13.98° ± 6.82), whereas in the Face mask group, skeletal parameters were found to be statistically significant, such as SNA angle (3.020 ± 1.72) and convexity at point A (3.260 ± 0.27). Pitchfork analysis shows 80% dental changes and 20% skeletal changes for the TransForce group whereas 41% dental and 58% skeletal changes for the Facemask group. CONCLUSION: While overjet correction was observed in both groups. Tooth-borne facemask with Alt-RAMEC protocol seemed to be effective in improving mild to moderate skeletal discrepancy whereas the Transforce appliance seemed to be effective in improving the dental profile of the patients.