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Important Notice! All minors under 18 yrs of age accompanying adult volunteers must be under the direct supervision of that adult at all times.

Thousand Smiles Foundation provides life-saving surgeries and related health care for FREE to underserved children so that they can eat properly, speak normally, be more accepted in their communities to live normal lives.

Thank You Hugh, We Will Miss You!

It is with great sadness that we tell you of the passing of Hugh Kramer, TSF Director after a long illness. Hugh was the ultimate Rotarian! He was a dedicated member of our TSF family for many years, and embodied “Service Above Self”. Not only was he active in TSF, he reached out to the young wounded vets in Balboa Hospital; arranging for meals, outings, and sometimes, just a caring conversation.

He will be greatly missed at our clinics. Please keep his family in your thoughts and prayers.

—  the Thousand Smiles Board of Directors


Ahley is two years old and has already had 3 surgeries to correct her cleft lip. She will have several more while she is with us to correct problems inside her mouth, straighten her teeth, and will work with a speech pathologist.

Cesar is 25 years old. He has been with us since he was an infant. You can’t really tell that he had a double cleft lip as a baby. He is working and attending college working towards a degree in computer science.

Kayla is 8 year old. She too had a cleft lip. She’s only needed 1 surgery so far, but will receive more dental and orthodontia as she grows. She is an orphan who lives with her grandmother.

Josue is 16 years old, oldest of 3 boys in the family. He came to TSF with a cleft palate/lip as a baby. He has had 6 surgeries to repair the clefts and plastic surgery to reshape his nose. He will continue to be treated until his teeth and nose are as perfect as we can make him.