The first day at the hospital is called “Clinic Day”. On this day, prospective patients are evaluated to see who is healthy enough to have surgery, what the surgical issue is, and to schedule their surgery. Over 120 patients with clefts were prescreened. We had two local translators, who made everything run smoothly. They worked with the surgeons and Dr. Quintana, our pediatrician, to coordinate between the doctors, patients and their families. Unfortunately, there was a bit of jockeying going on, since we could only schedule 84 patients. The "leaders" of groups of patients from a particular place were anxious for the most members of their group to be helped.