RWANDA One Among Thousands

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Dr. Ghulam Qadir Fayyaz and Enok. Photo: Margherita Mirabella.

One of the world’s most experienced cleft surgeons, Dr. Ghulam Qadir Fayyaz is renowned for his tireless execution of medical missions in his homeland of Pakistan, which have served tens of thousands of patients.

However, while Fayyaz volunteered on an Operation Smile medical mission to Rwanda in 2013, the story of one patient revealed a definitive moment in his distinguished career.

Immediately after closing the final suture of a long, exhaustive surgery on the severe bilateral cleft lip of 25-year-old Enok, an upwelling of emotions flooded the heart and mind of Fayyaz.

“I cannot forget Dr. Fayyaz crying after surgery, which lasted longer than usual because it was complicated and he also wanted the results to be as perfect as possible,” said Margherita Mirabella, an Operation Smile photographer who also played a central role in recruiting and convincing Enok to receive surgery at that medical mission.

“After surgery, Dr. Fayyaz went to pray. Since he was really touched, he cried and said that it was our fault that Enok had lived his life hidden and in pain — that we should have done the surgery before and that we have to keep healing people to avoid that pain.”

When Fayyaz speaks of “we,” it’s undoubtedly a reference to society as a whole — a challenge directed toward humanity to care for its own. This articulation of his vision uniquely aligns with Operation Smile’s vision: every child suffering from cleft lip or cleft palate deserves exceptional surgical care.

Ghulam Qadir Fayyaz pays Enok and Enok’s mother a post-surgery visit. Photo: Margherita Mirabella.

“Collectively, we are all responsible,” Fayyaz said. “I still remember the moment after we completed the procedure. I said, ‘We should have been there for him so many years before.’

“He would have been able to go to school and given the opportunities he deserves. He should be able to walk with dignity and honor as a fruitful member of society.”

The fact that Enok made it to 25 years old reflects his resilience — only 7.3 percent of people living with unrepaired cleft conditions survive to reach the ages of 15 through 19. This sobering statistic speaks to the immense impact Enok’s story continues to have on those involved in bringing him out of a life of despair and hiding.

Operation Smile Program Officer Morgan Bober, then a coordinator for programs in Rwanda, was in the operating room and witnessed Fayyaz’s emotional reaction to Enok’s surgery.

“The image of him taking his mask off and making that statement will forever be etched into my mind,” Bober said. “It represents who Dr. Fayyaz is as a person — his passion and commitment to his patients. The way the whole team followed his lead and rallied around Enok is really the essence of Operation Smile’s vision.”

Ghulam Qadir Fayyaz. Photo: Marc Ascher.

The intersection of Fayyaz’s commitment to healing smiles and Enok’s odds-defying story almost never materialized. Fayyaz originally sought to volunteer on an Operation Smile medical mission to India, but was unable to attain a visa for that trip. When Bober learned Fayyaz was available to volunteer in Rwanda, she jumped at the opportunity to include him on that medical mission.

“His depth of experience is really what set him apart; he’s performed more than 10,000 surgeries,” Bober said. “But what really makes Dr. Fayyaz the ideal volunteer is his kind heart and generosity.”

Fayyaz also volunteered on the 2015 and 2016 medical missions to Puebla, Mexico and Isabella, Philippines, respectively. The vast majority of his work has been performed in Pakistan and Afghanistan through the Cleft Lip and Palate Association of Pakistan, an organization he founded in 2003. Pakistan has the fourth largest population of people living with cleft conditions behind China, India and Indonesia.

His most recent paper, “A Model Humanitarian Cleft Mission: 312 Cleft Surgeries in 7 Days,” won a gold medal in the Plastic and Reconstructive Surgery 2016 Global Open for Best International Collaboration. Fayyaz will be recognized at the American Society of Plastic Surgeon’s “The Meeting 2016” in Los Angeles on Sunday, Sept. 25. “Physically, mentally and spiritually, it’s our responsibility to give children with cleft lip and cleft palate a chance at a new life,” Fayyaz said. “It’s so powerful because in just one procedure, a cleft surgery can see a patient make a shift from disabled to enabled.”

Dr. Ghulam Qadir Fayyaz poses with Silvia, one of the patients who attended a 2015 surgical program in Puebla, Mexico. Photo: Marc Ascher.
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