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Iris right before surgery.

Early in the morning, Operation Smile’s team of medical specialists arrive at Hospital Alemán Nicaragüense to prepare for the two surgeries to be performed that day. Iris is one of those patients.

In a bed in the pre-operative ward, Iris is lying face down, not wanting to talk to anybody.

“She is nervous and afraid because it is the first time she is at a hospital, undergoing surgery,” says Sandra, Iris’ mother, as she sits on the bed next to her daughter. “I am praying to God that everything will go well and that she feels better after.

“She is beautiful as she is, but I think she will be a happier person when this is over,” Sandra says as she strokes Iris’ hair carefully.

Iris with her mother before surgery
Iris with her mother before surgery

It’s almost time for Iris’ surgery and Dr. Maria José Chevéz, the psychologist who she met yesterday at the center, is there to keep her calm. They walk towards the operating room and sit on a bench for a while, playing and talking.

Suddenly, Dr. Rodrigo Cabrera, a cleft surgeon and the medical director of Operation Smile Nicaragua, comes out to greet Iris and Sandra. He is dressed in his surgical gown, and wears a superman surgeons cap.

“Hello my angel! Hello mom,” he says. He places his hand on the paper Iris is drawing on and lets her use a crayon to draw the pattern of his hand. He jokes and makes everybody laugh.

But now it’s time to go. He takes Iris’ hand and they together walk into the operating room, leaving Sandra outside to pray and wait.

“I have been waiting for this since she was a little baby,” Sandra says. “Ever since I got in touch with Operation Smile in January, we have been treated well. Everybody has been so nice and accommodating. Now I feel so happy that this moment is here”.

While the anesthesiologist takes care of Iris and calmly lets her breath into the mask, Rodrigo explains how Iris is just one of many cases in this country.

Plastic Surgeon and Medical Director Rodrigo Cabrera and Plastic Surgeon Jordan Swanson operating on Iris.

“She should have had treatment for this 11 years ago,” he says. “But Iris is a typical example of what happens here, where many patients are born in the country side with no access to health care or doctors close by, which makes treatment in time very difficult.

“However, Operation Smile has created a name for itself here, an identity in this country. We have become a center of reference for treatment of cleft lip and cleft palate, so we are well-established here now.

“Our next step is to expand our services to a national and regional level, and by regional, I mean in Central America. So that Operation Smile Nicaragua can be seen as a center of reference all over Central America, not only for children with cleft, but also for children born with all sorts of craniofacial malformations. This will be possible, thanks to the cooperation we have with the government of Nicaragua, who has opened the doors to their hospitals,” adds Rodrigo before putting on his sterilized gown and gloves to start the procedure to carefully join together the divided parts of Iris’ lip.

An hour later, the moment has arrived for Sandra to see her daughter for the first time after surgery. As Rodrigo brings Iris to the recovery room on a rolling bed, Sandra can´t hold her tears back. She cries openly, embraces her daughter and talks to her with so much love in her voice:

“Thanks to God everything went well, my darling. You can relax and just recover now. I am crying because I want to thank God and everyone who has been working with you.”

With tears in her eyes, Maria is also there to witness this emotional moment.

“After this surgery, Iris will be able to come back to her village and feel and look like the rest of the children there,” Maria says. “She will be able to feel confident and overcome her shyness a little at a time so she won´t feel the need to cover her face anymore.”

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