![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.
![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.
![Mirian sits in a dress with untreated cleft lip](/sites/default/files/styles/1_column_470_x_305/public/2021-02/mirian-sits-in-dress.jpg?itok=EsVtwYsk)
A Warrior at Heart
At one month old, Mirian weighed just four pounds. Five months later, with the support of our local partners, she had transformed into a happy, chubby baby.
![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.
![Valery holds the image of herself before cleft lip surgery](/sites/default/files/styles/1_column_470_x_305/public/2021-02/valery-holding-before-cleft-surgery-image.jpg?itok=89hoR6nv)
The Smile Virtuoso
When Valery was born, her parents cried at the sight of her cleft. Now, thanks to continuing treatment sponsored by Smile Train, Valery fills their lives with song and music.
![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.
![Yusufa is happy](/sites/default/files/styles/1_column_470_x_305/public/2022-02/yusufa-happy.jpg?itok=lfmFxiTq)
![Cristina Solano](/sites/default/files/styles/1_column_470_x_305/public/2021-01/cristina-solano-headshot.jpg?itok=w6vgJRcv)
Cristina Solano: Speaking from the Heart
When Cristina learned her son would have a cleft, she sought comfort and support, but found none, even from the local community. Until she met Dr. Dávalos. In the 10 years since, they've changed what it means to have a cleft in Ecuador, together.