Jullyn Nuegas (L) holds her Mark Carlos (2nd L) after his surgery to repair his cleft palate during a medical mission called Operation Smile at a government hospital in Manila on June 27, 2012.  Operation Smile is a non-government organisation charity which provides free surgery for children with cleft lip and cleft palate deformities.    AFP PHOTO / NOEL CELIS        (Photo credit should read NOEL CELIS/AFP/GettyImages)