Leann had always celebrated Christmas but had never thought of it as a time of gifts and presents. In fact, Leann and her family were too poor to exchange any Christmas gifts at all. Christmas time, 2018, was especially hard for Leann. She, ten months previously, had given birth to a daughter, Aerose, who had a severe facial deformity, a cleft lip and palate. Ever since that day Leann had grieved for her daughter’s future. She envisioned teasing, ridicule, rejection and loneliness. But then in late November, 2018, Leann heard about an American cleft team coming to her region.