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2017 Top-Rated Nonprofit

Smile Train, Inc.

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Nonprofit Overview

Causes: Birth Defects & Genetic Diseases, Children & Youth, Children & Youth Services, Health, International, International Development

Mission: Smile Train is an international children’s charity with a sustainable approach to a single, solvable problem: cleft lip and palate. Millions of children in developing countries with unrepaired clefts live in shame, but more importantly, have difficulty eating, breathing and speaking. Cleft repair surgery is simple, and the transformation is immediate. Our sustainable model provides training and funding to empower local doctors in 85+ developing countries to provide 100%-free cleft repair surgery in their communities. We use the “teach a man to fish” model focusing on training local doctors to perform cleft repairs in their communities. Those doctors then go on to train other doctors creating a long-term, sustainable system. Patients see their smile for the first time, parents cry tears of joy, lives and communities are changed forever. As a result of our efficiency and with the support of our donors and partners around the world, Smile Train has transformed the lives of more than one million children by giving them the power of a smile -- that's roughly 350 surgeries a day and 128,000+ every year. Join us and change the world one smile at a time.

Results: Since its beginning in 1999 Smile Train has provided more than 1,000,000 free surgeries for children who would otherwise never have received it.

Target demographics: children suffering from cleft lips and palates

Direct beneficiaries per year: 127,000+

Geographic areas served: 85+ of the world’s poorest countries

Programs: Treatment program: free cleft surgeries - while our cost per surgery varies across the 85+ different countries where we have worked, our contribution per surgery can be as low as $250. This amount reflects the contribution per surgery that we provide our partner hospitals. They also cover a significant portion of each surgery as part of our cost-sharing agreement with our medical partners. Free medical equipment & infrastructure support - for many of our partners, access to safe operating rooms is their biggest barrier. Many struggle with old and inadequate equipment such as anesthesia machines and a lack of other equipment and supplies. Smile train provides financial support that has been used for everything from building new operating rooms to crucial safety equipment such as pulse oximeters and cleft surgical instruments and supplies including scalpels and sutures. All of these investments work to provide a significant number of incremental surgeries, but also result in safer and higher quality outcomes for children in need. Free ancillary treatment - every child with cleft needs more than just surgery. Often they also need orthodontic care and speech therapy. Where these services are available, we do everything we can to make them accessible to our patients. We pay for speech therapy sessions, orthodontic work and much more. Financial aid for poor patients - some of our patients are so malnourished they are not healthy enough to be safely operated on and are provided food for one to two weeks before surgery. Some of our patients are so poor they have no money to get to the hospital or to travel home after surgery. Sometimes they have no shoes and no money for food. We have special programs that give small stipends for these poorest of the poor. These expenses exclude $57,036,544 donated time and services from doctors, nurses, anesthesiologists, organizations, companies, other medical professionals and medical facilities and supplies.

public education program: every year, people in developing countries isolate or abandon their newborn babies because they don't know a cleft is a simple birth defect and not a "curse from god. " thousands of children with clefts are never brought to hospitals for treatment because their parents don't know clefts are treatable. Thousands of people in developing countries come to smile train for information on how to find a good cleft team and how to take care of their newborn babies with clefts. Through direct mail, websites, newspapers, radio, tv, public service announcements, documentaries, public relations, social media, etc. , we raise public awareness about clefts in developing countries and in the united states.

training program: smile train provides free training and education to cleft care professionals around the world. Access to education and training opportunities is critical to smile train's mission of empowering local medical teams to provide safe, high-quality cleft care. Over the past 15 years, we have provided support for more than 1,500 medical conferences and training opportunities to improve cleft treatment in the developing world. Smile train supports hands-on and workshop-based training opportunities to improve the skill level of cleft care professionals in the developing world. Recent initiatives have focused on supporting training programs for cleft care nurses and anesthesiologists, including the development of the smile train safe nursing care saves lives program in africa that has now been scaled and implemented for smile train partners around the world. Smile train is innovative in its approach to provide quality training to medical professionals worldwide. In the developing world, surgeons often do not have access to the latest innovative techniques and updated protocols for cleft surgery. Smile train partners have conducted over one million surgeries worldwide and lacking access to such resources can be a barrier to their continuing education and quality improvement. Smile train recognized this problem and since 1999 has distributed free virtual surgery training materials to 40,000+ medical professionals in 149 countries around the world. Smile train took this technology to the next level and recently released the first open-access, web-based, interactive virtual surgery simulator designed to enhance training for surgeons on how to repair clefts. The simulator links state-of-art surgical resources to the most remote parts of the world, and changes the paradigm of surgical training internationally. The simulator was distributed to 1100+ smile train partner surgeons worldwide. Since the launch of the simulator, smile train confirmed users of the system in more than 90 countries around the world, including places where over half the population lives below the poverty level and where the per capital annual income is less than $500 per year. Through this unique approach smile train has leveraged technology to change the course of medical education while also improving the lives of children born with cleft in the developing world.

Community Stories

3 Stories from Volunteers, Donors & Supporters



Rating: 5

My experiences witnessing the barriers to dental care motivated me to become involved with the organization Smile Train. I have fundraised for treatment for children with clefts and provided literacy to the community about cleft conditions. My involvement with this organization not only fulfilled me deeply, but also gave me a background in oral and maxillofacial terminology while also improving my communication and teamwork skills. This experience will inevitably prepare me for a career as a dentist and help me reduce health-care disparities.


Client Served

Rating: 5

I raised over $6,000.00 for the Smile Train, and well over 30 plus donors to this awesome organziation. I did this fundraising effort in conjunction with my Ironman that I completed in Los Cabos Mexico on March 30, 2014. The money I raised will directly impact 24 children who will receive free surgery to fix thier cleft palet. That is 24 lives that are positively changed!!

This is an oranization that I am very passionate about, and how such a small amount of money can go such a long way. I am so happy that I was able to tie The Smile Train in directly with a huge event in my life. I am so excited about raising thousands of dollars more fro the Smile Train.

Please keep your donations comin to The Smile Train

Kelli M. Trudel


Client Served

Rating: 1

They put our organization through a laborious application process for a $5,000 grant and then, two months later, decided that they did not want to fund any such programs. A more professional organization would have made this operational decision before the grant deadline or would have honored those that applied and then eliminated the program in the next cycle.


Client Served

Rating: 5

After some not inconsiderable reseach a few years ago on where one's charity could make the most difference "for the buck", Smile Train came out well ahead of anything else. Not only in terms of all donated funds ending up where they should, but in terms of the impact on pimproving the quality of people's lives per $. I have been an avid supported evr since and intend on increasing this through wider corporate engagement. I have absolutely no reservations in commending what Smile Train is doing, how it is doing it and the dedication and vision it reflects. If only governments and supra-national organisations had the humility to learn from the model being applied here, the world could both easily become a much better place, and could do so without the need for much more additional funding.