Obtaining reliable and high fidelity next-generation sequencing (NGS) data requires to choose a suitable sequencing platform and a library preparation approach, which both have their inherent assayspecific limitations. Here, we present the results of successful adaptation of SureSelect hybridisationbased target enrichment protocol for the sequencing on the Ion Torrent S5 platform, which is designed to work preferably with amplicon-based panels. In our study, we applied a custom NGS panel to screen a cohort of 16 unrelated patients affected by premature fusion of the cranial sutures, i.e. craniosynostosis (CS). CS occurs either as an isolated malformation or in a syndromic form, representing a genetically heterogeneous and clinically variable group of disorders. The approach presented here allowed us to achieve high quality NGS data and confirmed molecular diagnosis in 19% of cases, reaching the diagnostic yield similar to some of the published research reports. In conclusion, we demonstrated that an alternative enrichment strategy for library preparations can be successfully applied prior to sequencing on the Ion Torrent S5 platform. Also, we proved that the custom NGS panel designed by us represents a useful and effective tool in the molecular diagnostics of patients with CS. Next-Generation Sequencing (NGS) in Medical Genetics Routine NGS diagnostics requires high-quality sequencing data, short turnaround time and reasonable cost of the investigations. Therefore, out of the three major NGS-based diagnostic strategies, i.e. whole exome sequencing (WES), whole genome sequencing (WGS), and targeted gene panel sequencing, the final approach is ubiquitous and broadly applied in the clinical settings 1-5. Successful implementation of targeted NGS in medical diagnostics results from several advantages. First, it generates disease-restricted data with fewer variants of uncertain significance, simplifying the analysis. Next, it provides very high coverage and read depth of selected regions, and finally, it limits the need for expensive laboratory equipment and data storage 6,7. In order to generate reliable, high fidelity NGS data one has to choose a suitable sequencing platform and a library preparation protocol 6,8. Different NGS platforms are known to have their specific limitations, such as underrepresentation of sequences with high guanine-cytosine (GC) content in case of Illumina or homopolymer length estimation bias in Ion Torrent semiconductor-based sequencing systems 9-14. In addition to dissimilarities of NGS platforms and their specific inbuilt artefacts, also the sample preparation protocols differ in many aspects, including enrichment strategy. Currently, two major targeted enrichment strategies are available, i.e. PCR-based methods and hybridisation-based protocols. Although targeted PCR-based amplicon approach offers both easy workflow and shorter reaction time, requiring low DNA input at the same time, it suffers from several limitations, such as lower