This video demonstrates the bilateral suprazygomatic maxillary nerve (SZMN) block performed using both landmark-based and ultrasound-guided techniques for intraoperative and postoperative analgesia in a 12-month-old child undergoing cleft palate repair. The maxillary nerve, located within the pterygopalatine fossa, is the second division of the trigeminal nerve (V2) and is a purely sensory nerve that supplies sensation to the midface, including the palate.