![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.
![Cristian holds one of his dogs](/sites/default/files/styles/1_column_470_x_305/public/2021-01/cristiang-w-dog.jpg?itok=S7mAGUVV)
Healing Heartbreak with a Smile (Dogs Help, Too)
Angelica was 15 years old, single, and had just given birth to a baby with a cleft. All she knew about clefts was how she had seen people with them harassed without mercy. But she promised to never give up on the little life before her.
![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.
![Monica holding an image of herself as a child](/sites/default/files/styles/1_column_470_x_305/public/2021-01/monica-holding-before-image-super.jpg?itok=ga-5c3ew)
Monica’s Inner Strength Shows in Her Smile
Monica has been through more than any child should, but today she shines bright.
![Pilar poses with speech patient](/sites/default/files/styles/1_column_470_x_305/public/2021-02/pilar-cleft-speech.jpg?itok=Vs_UWq6c)
Dr. Maria del Pilar Echeverri: Revolutionizing Cleft Care in Colombia
Dr. Echeverri founded FISULAB in the belief that all aspects of cleft care are equal.
![Teenager Maria holds an image of herself as a baby before her cleft surgery](/sites/default/files/styles/1_column_470_x_305/public/2021-02/maria-holds-baby-image.jpg?itok=Ce_ZviBj)
With Maria Every Step of the Way
Stella breastfed her seven other children without problems, but Maria’s clefts caused the milk to come out of her nose and made her choke.
![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.
![Sushila holds the image of herself before cleft surgery](/sites/default/files/styles/1_column_470_x_305/public/2021-02/sushila-holds-her-before-image.jpg?itok=mzKin1NC)
A Smile Educates
Everyone told Gyana to abandon her daughter when she was born with a cleft; her husband threatened to kill himself if she didn't. Afraid for both their lives, she took the child and fled.
![Neitan holding an image of himself before cleft lip surgery](/sites/default/files/styles/1_column_470_x_305/public/2021-02/neitan-holding-before-image.jpg?itok=KT3S2u6w)
You Must Be There To Care
When Oscar was born with a cleft, his family found a mission-based organization to provide him with the surgery they could not afford. But when a complication arose, they had already left the country. Thankfully, Smile Train's local partners are always there.