What do you call a person who make and decorates cakes pastry?

There are a few terms you could use, depending on the context:

* Pastry Chef: This is a general term for someone who makes and decorates pastries, cakes, and other sweet goods. It's a common term in professional settings.

* Cake Decorator: This term focuses specifically on the decorating aspect of cake making. It's a good option if you want to highlight the artistic and creative skills involved.

* Baker: While this is a broad term, it can also encompass those who specialize in cakes and pastries.

* Confectioner: This term is more formal and often used for someone who creates a wide variety of sweets, including candies and chocolates.

Ultimately, the best term depends on the specific role and context.