![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.
![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.
![Maria before her cleft surgery](/sites/default/files/styles/1_column_470_x_305/public/2021-01/maria-before-surgery-super.jpg?itok=cIdu5sXn)
It’s Never Too Late to Dream
Maria has been waiting for cleft surgery since 1953. When the opportunity came, her son wanted her to pass.
![Ayubu before cleft lip surgery](/sites/default/files/styles/1_column_470_x_305/public/2021-02/ayubu-before-cleft-lip-surgery.jpg?itok=9wYWba9j)
A Smile That Brightens And Enlightens
Ayubu's classmates harassed him relentlessly for years because of a local myth about clefts. When he was 10 years old, his mother heard there was hope at a hospital less than an hour away.
![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.
![Kamse living with an untreated cleft lip in Kenya](/sites/default/files/styles/1_column_470_x_305/public/2021-02/kamse-before-cleft-surgery.jpg?itok=sREJDK6G)
A Student Of Resiliency
Kamse was excited for his first day of school, but, when the day finally came, he was taunted all day long. Kamse ran home and begged his grandfather never to make him go back.
![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)