of kathmandu, and 19% of the total population lives in an urban area. the rest are in rural communities. >> i come from a very remote area, and so i have that understanding of how difficult it is to access the medical care in nepal. >> dr. shankar is a surgeon in nepal. in his training he observed the surgery of a repair of a clef lip on child. >> iatch and at the end of the surgery i could not believe my eyes the transformation of the face from the the cleft to the normal looking child. immediately, i thought, i would like to do this. i would like to become a plastic surgeon. >> reporter: he is now the leading plastic surgeon in nepal nepal. >> so they come from a very remote area. >> reporter: but it is not enough to run a clinic in the