Sheyla came from the nearby Santa Teresa orphanage, and is 5 1/2 years old. She had surgery last year by Interplast surgeons who operated on her cleft palate (she was in last year´s Interplast Cusco, Peru blog). This year she came back for a fistula repair, so that she may improve her speech. She was so sweet and beautiful, and sat very quietly while the doctors examined her. Unfortunately, she was not healthy enough for surgery, and will have to wait another year.