Siblings Lanto and Rindra were both born with a cleft lip in rural Madagascar. Their loving parents Rolland and Adeline worried what the future held for their youngest children if they couldn’t get surgery.
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Long-standing medical volunteer Jackie Matthews, has recently returned from the first Sub-Saharan Africa ‘Patient Management and Community Health Initiatives’ workshop,…
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For Brandon’s parents, Emma and Victor, excitement turned to overwhelming surprise and sadness when doctors informed them of their son’s…
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At Operation Smile, we believe everyone deserves access to safe medical care – access to safe surgery is not a…
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Facing starvation – a life in the balance Afia was born with a bilateral cleft lip and palate. Her condition…
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Young girl stands smiling in front of a multi coloured background.
Medical volunteers from Malawi, Kenya, Ethiopia and the UK came together to provide exceptional care to over 40 children in Mzuzu, in the Northern Region of Malawi.
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Dr Wone providing cleft surgery in Mzuzu. Photo Margherita Mirabella
After loving and raising three daughters together, Nioti and her husband, Monbula, remained hopeful that they would finally welcome a son into their family.
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Bipul and his mother pose with two thumbs up.
Our Transcending Borders signature initiative strives to create more resilient and inclusive health systems that serve the needs of patients with cleft conditions regardless of their immigration statuses.
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Pedro and his friends play at the April Third refugee camp in Uribia, Colombia.
Around half of children born with a cleft palate will need support with learning to speak – thankfully, volunteer speech and language therapists like Erika Bostock are helping to ensure children with cleft conditions have a voice.
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Speech Pathologist Erika Bostock Operation Smile Programme to Emalahleni, Mpumulanga, South Africa - Witbank Hospital. Photo: Zeke du Plessis
EMEA Recruitment founder Paul Toms talks to Executive Director Mairead O’Callaghan about our goals for the next decade and her experiences on surgical programmes around the world.
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Mairead O’Callaghan, assisting Medical Records. 25th Anniversary of Operation Smile in Vietnam Programme. Photo: Marc Ascher
While there are thousands of people in Guatemala living with untreated cleft conditions, there is also a total of 5 million people in need of cleft care globally.
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Baby with cleft
For far too many families of children born with a cleft condition, they encounter obstacles trying to discover where to go for help. But through having people like Paola Arroyave by their side, parents living in Guatemala have a direct line to Operation Smile.
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Baby with cleft
Find out how Operation Smile India continues to strengthen its community outreach programmes and bring cleft care closer to the homes of more families like Dilfa.
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One year following her cleft lip surgery, 18-month-old Dilfa and her mom, Tasheen, pose for a photo to share her beautiful new smile. Photo: Jasmin Shah.
Thailand’s beauty is not only seen woven within its towering forests and cascading waterfalls, but also in the smiles of its people.
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Manus, left, and Wanna hold their twin sons, Ou and Lak, centre, as they await their comprehensive health evaluations during an Operation Smile medical programme in Thailand. Photo: Peter Stuckings.
For 38 years, Andrea lived with an unrepaired cleft lip. But as she waited during patient screening at Operation Smile Peru’s medica programme in Lima, Peru – surrounded by her family and hundreds of people who were also in need of care – Andrea wasn’t thinking about herself.
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Female adult with cleft lip
Holding their newborn baby for the first time is often one of the most joyous moments a parent can experience. But for Ani and her husband, Roberto, seeing their son, Alex, brought feelings of fear and despair.
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In 2016, 14-month-old Alex arrived with his mom, Ani, and his dad, Roberto, to an Operation Smile Paraguay surgical programme in Asunción. Photo: Carlos Rueda.
As soon as Iris gets off the bus and, together with her mother, moves through the crowds of people at a bus station in Managua, Nicaragua, she hides. Walking behind her mother, she holds one hand on her mother’s shoulder and the other covers her mouth. Her eyes are locked on her mother’s back, as if she doesn’t want to meet the eyes of any of the strangers staring at her.
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Iris before cleft lip surgery
Domingos has an indomitable spirit with a physique to match: calloused hands, muscled arms and shoulders that look like they could carry the weight of the world. In a sense, they have. Domingos carried the weight of living with an untreated cleft lip for 48 years.
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Cleft in adult Domingos. Photo: Zeke du Plessis.
The sun was just peaking over the horizon as sweat ran down my arms and dripped onto the clean and empty streets of Nay Pyi Taw. I was still trying to adjust to the time zone and the heat in Myanmar.
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Boy and girl with cleft lip and cleft palate.
Cintia didn’t understand what was wrong with her daughter, Britany, when she was born. Her daughter was born with a cleft lip and cleft palate, conditions she had never seen or heard of before.
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10-year-old Britany after cleft surgery. Photo: Carlos Rueda
Along a dusty roadside in the state of Ceará in northern Brazil, Antonia sips a cold drink on a hot day at the local coconut stand with her father and sister.
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Antonia after her life changing surgery. Photo: Marc Ascher
Whether travelling from surrounding villages or distant islands, families in the Philippines seeking cleft surgeries for their children must sacrifice precious time and resources to reach Operation Smile medical programme sites.
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Loraine and her family. Photo: Jörgen Hildebrandt.
After more than two years of the pandemic preventing Operation Smile from providing cleft surgeries in Madagascar, an international team of medical volunteers were finally able to unite to provide patients with care in Tamatave during the last week of April 2022.
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Six-years-old Honoré, before cleft surgery. Photos: Jörgen Hildebrandt
Joseph walks in his flip-flops behind his father and stepmother through their neighbourhood in San Remigio on the Philippine island of Cebu.
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Joseph runs in an open filed, before cleft surgery. Photo Jörgen Hildebrandt
At 31 years old, Ephraim is proud of the life he has built for his family. He and his girlfriend, Ldaudzine, are raising their two young sons, Nkhosama and Tawananyasha, in Centurion, South Africa, where he works at a natural gas company.
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Cleft in adult. Ephraim holds a photo of himself before cleft surgery.
Claudina knew that her 16-year-old daughter, Wara, had a high-risk pregnancy. But she never imagined the series of challenges that would ultimately unfold after Wara went into labour.
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Baby girl with cleft being held by her grandmother
Through the actions of dedicated and loyal volunteers who strive to make an impact, Operation Smile Malawi’s goal of increasing local surgical capacity remains at the core of its mission.
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Little Grace before her life changing surgery
The International Family Study is pioneering research into the causes of cleft working in partnership with the University of Southern California.
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Loraine born with cleft lip in the Philippines
Shijun’s story Although the harassment he received made him angry, Shijun chose to walk away instead of fighting with those…
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Asian boy with cleft
Operation Smile Ghana Aba brought Moses to Operation Smile Ghana, hoping he would be treated, but at three-months-old and suffering…
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Launching into its 20th year, Operation Smile Morocco continues to be one of the most active and respected non-profits in the country through its work of delivering safe surgery to patients with a team of more than 400 volunteers.
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Cleft care screening day in morocco
Pedro’s story Across a dry ravine, a sun-parched clay road bends toward an array of small lots lined with fences…
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Pedro holding a photo of himself before cleft surgery. Photo: Camilo Zapata Fonnegra
Faustina’s story The condition of the road stands in stark contrast to the lush natural beauty that surrounds it as…
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Faustina holds a photo of herself before her cleft surgery
Lilia’s story Throughout the Covid-19 pandemic, health systems in developed countries were pushed to their limits while the healthcare inequities…
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Mum holding baby girl before her cleft lip and cleft palate surgery
In Vietnamese, Ngan’s name means “star,” but she wasn’t able to smile brightly when she was born with a cleft lip and cleft palate.
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Crying girl with a cleft lip and cleft palate

Programme updates

Find out how our surgical programmes are strengthening local health systems and training the next generation of medical leaders.

Training anaesthetists in Rwanda

Anaesthesia is vital to the delivery of safe surgery, but there is a dramatic shortage of trained anaesthetists in Rwanda. In this densely populated country, 11.9 million people are served by just 15 anaesthetists and anaesthesiologists.

Dr Paulin Banguti is working to fill this void – he’s director of the post-graduate anaesthesia programme at the University of Rwanda. During the March 2016 Operation Smile surgical training rotation at Rwinkwavu District Hospital, he led a group of anaesthesia residents to observe and learn from volunteer anaesthesiologists from around the world.

Medical staff prepare a patient for anaesthesia

Strengthening health systems in Malawi

To enable Operation Smile to serve and treat more people living with cleft conditions, we focus on increasing the surgical capacity of low-and middle-income countries like Malawi so that cleft care for local people can continue, even after a surgical programme ends.

Operation Smile Malawi has worked to encourage and educate local surgeons, doctors and nurses, and now has nearly 50 percent of its medical volunteers from Malawi. Surgical training rotations train and empower local surgeons to help their own communities and strengthen health systems for the future.

Cleft Surgeon Tilinde Chokotho with cleft patient