![Florentina with Stefania and Elena](/sites/default/files/styles/1_column_470_x_305/public/2022-05/florentina-with-stefania-and-elena-free-cleft-lip-palate-surgery-romania-eastern-europe-smile-train.jpg?itok=LwYokaVb)
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![Maxi's mother holding him just after his free cleft surgery](/sites/default/files/styles/1_column_470_x_305/public/2022-04/maxi-with-mom-after-free-cleft-lip-palate-surgery-paraguay-smile-train-50.jpg?itok=dTXw-IFt)
Paraguay
The Wait Is Over: Paraguay's First Local, Sustainable Cleft Care Center Opens
COVID-19 only further proved the need for empowering local healthcare experts
![Jula smiling in front of some plants](/sites/default/files/styles/1_column_470_x_305/public/2022-01/julia-capilli-plants-free-cleft-lip-palate-surgery-philippines-smile-train.jpg?itok=D9IoX0Bz)
Philippines
Julia: A Rare and Beautiful Flower
How Smile Train helped a budding artist bloom through the unimaginable
![Adelina and Ionut](/sites/default/files/styles/1_column_470_x_305/public/2022-01/ionut-with-mother-snuggle-after-free-cleft-lip-palate-surgery-romania.jpg?itok=35SO2kRQ)
Romania
Ionut: Separation, Isolation… Then a Smile
A mother manages cleft care through quarantine
Dominican Republic
Sebastian: From Nine Days to Live to Chubby Baby
After Pamela's delivery, the nurses told her that her son, Sebastian, only had nine days to live. She was devastated. She didn’t know where to turn. Then she was referred to Smile Train's local partner, Fundacion Ninos que Rien.
![Auner smiling after free Smile Train cleft and lip surgery in Guatemala](/sites/default/files/styles/1_column_470_x_305/public/2021-07/auner-smiling-after-free-cleft-lip-palate-surgery-guatemala.jpg?itok=-TZYkg58)
![Santi standing proud at work](/sites/default/files/styles/1_column_470_x_305/public/2021-05/santi-header.jpg?itok=1akchfpM)
Philippines
Santi: “Dream Big; Don’t Stop”
For adults with clefts, a smile also means fulfilling work with dignity.
![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)
Paraguay
Smile Train’s Next Stop: Paraguay
Building a sustainable, local foundation for success in our newest partner country.
![A child with an untreated cleft lip in Philippines](/sites/default/files/styles/1_column_470_x_305/public/2021-04/ingred-patient-philippines.png?itok=2aMyaHiT)
Philippines
Nourishing Hope in the Philippines
Dr. Ingrid Leal lends her expertise to improve nutrition programs in the Philippines
![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)
Guatemala
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.
![Elizabeth before cleft treatment](/sites/default/files/styles/1_column_470_x_305/public/2021-01/elizabeth-before.jpg?itok=yUVE6LD2)
Philippines
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)
Philippines
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.