![Hector Daniel held by his family](/sites/default/files/styles/1_column_470_x_305/public/2021-06/hector-looks-forward.jpg?itok=ciFZXyX-)
We Are Smiles in El Salvador
When their son's life was changed forever, Héctor Rivas and Karen wanted to give the same relief to families across El Salvador.
![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.
![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.
![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.
![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.
![Auner laying down in a row of faces](/sites/default/files/styles/1_column_470_x_305/public/2021-02/auner-in-row-of-kids.jpg?itok=Mlr0fkrl)
Feeding Auner’s Mind, Body, and Soul
Auner was lucky to survive long enough to enter our partner's care. Now, he's thriving and smiling.
![Renpuci on a train with her dad](/sites/default/files/styles/1_column_470_x_305/public/2021-02/repuci-on-train-with-dad.jpg?itok=3EoQ5eOd)
Renpuci Smiles at High Altitude
Smile Train's partners will travel any distance and scale the highest mountains to provide free care to children in need.