Eight Years Later, Osawa is Still Smiling

Smile Train’s 1 millionth patient now aspires to be a doctor himself

When Osawa was born with a cleft, his family was surprised, but did not panic. His father knew a boy once, many years ago, who had a cleft, and was able to get treatment. As he held his fragile new baby in his arms, he committed himself to overcoming every and any obstacle between his son and the care he needed.

Osawa before cleft surgery
Osawa just before cleft surgery

But there was only so much he could do. The family lives in a remote village in Tanzania with no access to motorized transportation, far from professional health services. Osawa grew up with his family’s unconditional love and support, but outside his house, things were very different.

Osawa in school before cleft surgery
Osawa in school before cleft surgery

Neighbors greeted him with shock and gawked at the way he ate because they could see his food in his mouth as he chewed. His classmates mocked him mercilessly for the way he looked and spoke. People told him — incorrectly — that he has a cleft because he or someone in his family did something wrong. He felt terrible and insecure all the time and withdrew into himself. He was failing in school and sometimes couldn’t even bear to attend.

Osawa's father
Osawa's father, Owiti

All that suddenly changed when, after six years of searching, his father at last discovered a solution —Smile Train. Within a few days, Smile Train sent a jeep to Osawa’s village to whisk him away to the free cleft surgery awaiting him many hours away at our partner hospital in the capital, Dar es Salaam.

Just after the surgery that changed his life forever, Osawa received even more incredible news — he was Smile Train’s one-millionth patient.

Osawa with his happy family after surgery
Osawa with his family, after surgery

Upon his return from Dar es Salaam, Osawa’s village greeted him with dancing and singing, like he was royalty. No one could believe how completely his face had transformed in just a few days; he couldn’t believe how much they had transformed in just a few days.

Osawa racing a friend
Osawa racing a friend

Filled with a new confidence to match his new smile, Osawa now excelled in school and made friends. People no longer gawked at him.

Osawa smiling with his parents
Osawa with his father and a friend

“I’m much more confident to look in the mirror,” Osawa said. “People who knew me are shocked at the changes; they’re happy to see my new look.”

Osawa holding a picture of himself before cleft surgery
Osawa is now longer the sad, shy boy in the picture

His journey inspired him to aspire to become a doctor when he grows up so that he can help other children as he was helped.

Osawa smiling with his parents
Osawa with his proud parents

His parents are keen to use their experience to help others, too. Looking back, Osawa’s father has some advice for other families of children with clefts who may be feeling as lost as his was. “My advice to parents like myself… is that I ask you to be closer to your children, make them comfortable in society despite their physical appearance. They’ll all have an opportunity to be treated.”

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Our Impact in Tanzania

as of July 2022


cleft surgeries sponsored since 2006


active partner surgeons


active partner hospitals