Dr Jorge Palacios just gave me the most wonderful Christmas present. I was with Dr Palacios in Ecuador on a visiting educator trip where we were training young surgeons to do cleft lip and palate surgery. One of the patients was a 45 year old woman with an unrepaired cleft lip. Dr Palacios assigned her care to me. in 45 minutes I was able to repair her lip- a 45 minute operation for which she had waited 45 years !! I am so grateful that I was able to do this for her. She will be able to smile at her children and her husband for the first time . To be given a chance to help another person like this is priceless.