Ephraim‘s story

Ephraim was born with a cleft lip. Despite enduring vicious teasing and bullying that led to him leave school at age seven, he has grown to accept himself in the years since. Throughout that time and for most of his adult life, he’s become accustomed to being pointed out and laughed at in public. All the while, no one ever told Ephraim that surgery could repair his condition. It wasn’t until 2015 that he learned of this possibility – and that surgery could be provided for free.

An unknown gentleman visited Ephraim’s workplace and told him about an organisation named Operation Smile, which provides free cleft surgeries. The kind stranger left the phone number for Operation Smile South Africa. The call would prove to be life-changing. Ephraim learned about a medical programme that was to be conducted the next month in Mbombela.

31-year old adult with cleft
31-year-old Ephraim before cleft surgery. Photo: Zute Lightfoot
Ephraim with volunteer medical staff ready for cleft surgery. Photo: Zute Lightfoot
Ephraim with volunteer medical staff ready for cleft surgery. Photo: Zute Lightfoot

Transformed smile

Ephraim’s joy was only tempered by the seven-hour bus trip he had to take alone. Once he arrived at the medical mission site, he saw so many other people who looked just like him. After Operation Smile medical volunteers conducted a comprehensive health evaluation to determine if he was healthy enough for surgery, all Ephraim could do was wait to see if he would be cleared and scheduled for an operation. The next morning, he learned his surgery was scheduled for that very day. Thrilled, Ephraim called Ldaudzine to deliver the good news and learned that she would make the trip to Mbombela after his procedure to accompany him back home.

After a short surgery, Ephraim rested in his room, giving everyone he saw two thumbs up. He couldn’t wait to return home to show his sons their father’s new smile.

“My family was so surprised when they saw me,” Ephraim said of his homecoming from the medical mission. “They said, ‘I didn’t expect you to look like this now.’”

While Ephraim retains his innate upbeat disposition, he said that life is so much happier as a result of his surgery.

The biggest change was that before when I was talking to a group of guys then if one of them said something about my mouth I would get so angry, now, it’s so much better.

Ephraim, South Africa

Before and after cleft

Operation Smile South Africa provides cleft care to thousands of families.

Cleft care in South Africa since 2006

An emotional Lydia looks at photo of two-year-old Lungile before cleft surgery. Photo: Zute Lightfoot
An emotional Lydia looks at photo of two-year-old Lungile before cleft surgery. Photo: Zute Lightfoot

Nobody should have to wait 31 years for cleft surgery