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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 ...

Especially parents because they start to feeling guilty even though it has nothing to do with them probably. but it has a long impact in the fami family. so, but at the same time, it is a simple defect to be corrected, you know. with a little bit of training, any plastic surgeon or general surgeon can operate on these patients and correct the deformity. >> reporter: so how does a cleft palate and lip happen? in the fourth and seventh weeks of pregnancy in development, tischb shoe joins together to make the face including the lips and mouth. when it does not fully join, an opening in the upper ...

Village and people used to make all sorts of assumptions how it happened. i was afraid that people would bully my son because of his condition. >> in nepal we did a small study which showed that 1 of 500 live births would be a cleft child. 1 of 500. cleft denorm formities cleft li cleft palate is simple to correct, but yet, it has a deep social impact in the family as well as in the child when they grow up. they are outcasted from the society. we have many incidents where the children were left alone by the families, because of the deformity and many other stories of the father coming to know ...

Then patients can refer, and can travel, because it is not as much of an issue, this doesn't translate over here where it is so difficult and so strenuous to travel. >> and so you can see the discussing the high points, and it will be a a lot. >> why what dr. rai is doing is so amazing is because he has developed comprehensive cleft care for the entire country in a country that has challenging settings like e nepal where the geography is a major hurdle to overcome. >> rit wiit will be easy. ea easy to operate. we have carried out 45,000 surgery, and the actual number is more of the patients wh...

Or europe where there are large centers and the the patients can are refer and can travel, because it is not as much of an issue, it is does not translate here, because it is so difficult and strenuous to travel. >> and so the heights, and you know, the high points will be a lot. >> what dr. rai is doing is so amazing is because he has developed comprehensive cleft care for the entire country n a country with challenging settings like nepal where the geography is a major hurdle to overcome. >> it will be easy operation. >> i think that we have carried out more than 25,000 free surgeries for th...