![Training doctors to provide free cleft lip and palate surgery in Asuncion, Paraguay.](/sites/default/files/styles/1_column_470_x_305/public/2021-05/training-in-paraguay-for-free-cleft-lip-palate-surgery-in-asuncion.jpg?itok=wxWVIyks)
Smile Train’s Next Stop: Paraguay
Building a sustainable, local foundation for success in our newest partner country.
![Livingstone with his friends after cleft lip and cleft palate surgery](/sites/default/files/styles/1_column_470_x_305/public/2021-02/livingstone-with-friends-after-cleft-lip-cleft-palate-treatment.jpg?itok=zhxVMF1U)
Livingstone Clings to Life
Cleft surgery was only one piece of Livingstone's journey from malnourished baby to star of his village.
![David's mom holds an image her son before cleft surgery](/sites/default/files/styles/1_column_470_x_305/public/2021-02/david-holds-before.jpg?itok=BWHeD1_B)
David’s Cleft Journey in His Mother’s Words
Magaly is the mother of David, age five, a Smile Train patient in Quito, Ecuador. She shared with us her son’s journey to cleft care and what Smile Train has meant for her entire family.
![Elizabeth before cleft treatment](/sites/default/files/styles/1_column_470_x_305/public/2021-01/elizabeth-before.jpg?itok=yUVE6LD2)
A Banner Year for Elizabeth
Elizabeth's family tries to find the cleft surgery she desperately needs, in the middle of a lockdown.
![Andrea before her cleft lip surgery](/sites/default/files/styles/1_column_470_x_305/public/2021-02/andrea-before-cleft-surgery.jpg?itok=TyxTVyr2)
Bravery And Courage Also Run In Her Family
Just when Jeann thought she had found a way to get her daughter with a cleft to a healthy weight, COVID-19 forced the entire island into lockdown.
![Saksham is holding an image of himself before cleft surgery](/sites/default/files/styles/1_column_470_x_305/public/2021-01/saksham-holding-before-super_0.jpg?itok=YBOFWnED)
Saksham: Hope Is Always Alive
A boy from India is starving and his parents don't know what to do.
![Saraswati holds a Smile Train fan](/sites/default/files/styles/1_column_470_x_305/public/2021-02/saraswati-holds-smile-train-fan.jpg?itok=w5hqUR0-)
Nourishing Saraswati
Saraswati's parents tried everything to feed their baby, but no matter what they tried, the milk still spilled out her cleft. She constantly screamed with hunger, and they didn't know how she'd make it. Then a friend told them about Smile Train.
![Three siblings in India have cleft treatment](/sites/default/files/styles/1_column_470_x_305/public/2021-02/one-family-india-three-cleft-surgeries.jpg?itok=DQP2AbQE)
One Family Needs Three Smiles
Kamlesh learned to live with his cleft. His three children could not.
![Fernando in scrubs with arms crossed](/sites/default/files/styles/1_column_470_x_305/public/2021-02/fernando-arms-crossed.jpg?itok=MNVZkOXM)
A Father’s Legacy of Smiles
How one man built a legacy of smiles that will last for generations — on both sides of the operating table.
![Andrea in Smile Train scrubs](/sites/default/files/styles/1_column_470_x_305/public/2021-02/andrea-in-smile-train-scrubs.jpg?itok=I7wdA3WA)
Treating the Whole Child in Ecuador
Meet the brother-sister duo transforming cleft care in the mountains of Ecuador.
![Fernanda stands in front of a cow](/sites/default/files/styles/1_column_470_x_305/public/2021-02/fernanda-and-cow.jpg?itok=4fc3ox5n)
Fernanda: The Jolly Rancher
Wendy was 17, single, and scared. She had just had a baby with a cleft, and any help seemed far, far away from her family's ranch in the remote Andes highlands. But Smile Train was there.