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From the Field

How Cleft Dolls Help Children See Themselves

At first glance, a doll may seem like a simple toy, a small comfort in a big, unfamiliar world. But in the hands of a child born with a cleft condition, a certain kind of doll becomes something much more. It becomes a source of strength, identity, and healing. 

At Operation Smile, these are known as cleft demonstration dolls specially crafted dolls that reflect the facial differences experienced by children born with cleft conditions. For young patients facing surgery, uncertainty, and often stigma, these dolls offer what few things can: a reflection of their own story. 

A Child’s Mirror 

For children growing up in areas where cleft care is limited or unavailable, the experience can be deeply isolating. Some arrive at Operation Smile surgical programs having never met another child with cleft conditions, let alone seen a toy that looks like them. 

That’s why these dolls matter so deeply. 

When a child picks up a cleft doll, they see a familiar face  one that mirrors their own  something extraordinary happens. They don’t just see a toy. They see themselves, and in doing so, they begin to feel seen by the world. 

A young girl holding 2 cleft dolls
Marilenny, a brave patient, finds comfort in holding cleft dolls in the Child Life area before her surgery.

In Santo Domingo, Dominican Republic, Marilenny a little girl waiting for surgery  was handed two cleft dolls. At first, she simply held them. But within moments, her expression shifted. She hugged the dolls to her chest, her body softened, and in her eyes, there was something unmistakable: recognition. In that quiet moment, she understood that she was not alone. 

From a Canadian Idea to a Global Impact 

This remarkable initiative began in 2023, when a member of the Operation Smile Canada team learned about a gifted dollmaker in Saskatchewan who was modifying dolls to reflect children with cleft conditions. Inspired by her compassion and craftsmanship, we worked with her to create the first 68 cleft demonstration dolls to be shared with our global care teams. 

Thanks to your generosity, the impact has grown. In 2024, Operation Smile Canada provided 242 dolls, seven for every country where we support cleft and surgical care programs. 

Today, these handcrafted dolls from Canada are reaching children across Latin America, Africa, and beyond, offering comfort, education, and a powerful sense of representation wherever they go. 

Female medical volunteer for Operation Smile Canada holding 3 cleft dolls
Anne, our Canadian Operating Room nurse, beams with excitement meeting the special cleft dolls that journeyed all the way from Canada to the Dominican Republic.

A Tool for Healing — in Every Sense 

These dolls are far more than symbolic. They are deeply practical tools used in care, education, and training around the world. 

  • For children, they provide emotional support, normalizing their experience and building confidence ahead of surgery. 
  • For parents, they are used by medical teams to demonstrate feeding techniques, helping families nourish and care for their babies with cleft conditions, especially in those crucial first months of life. 
  • For healthcare providers, the dolls offer a tangible, empathetic way to train and prepare for the treatment of cleft conditions, especially in regions where such care is less common. 

In some countries, the dolls are even used in workshops and storytelling sessions, giving children a safe, imaginative space to process their experiences and celebrate who they are. 

Your Support Brings These Stories to Life 

At Operation Smile, we believe that cleft care must be comprehensive. Surgery is only one piece of the puzzle. Healing takes time, compassion, and tools that support the whole child physically, emotionally, and socially. 

These dolls are small, but their impact is big. They help children feel seen, families feel supported and they are only possible because of YOU

When you give, you do more than fund medical care. You send a message: to a child waiting for surgery, to a mother learning to feed her baby, to a young boy who has never seen a face like his in a toy. A message that they are not alone. That they are worthy of care, love, and a future filled with hope. 

Thank you for making these moments possible. One doll, one child, one smile at a time — you are changing lives around the world. 

A volunteer from Rwanda demostrating 2 cleft dolls
Our dedicated medical volunteer from Rwanda showcases the dolls as part of a training session, bridging care and culture across continents.