Operation Smile

Operation Smile
Operation Smile
Formation 1982
Type Not-for-profit corporation
Headquarters United States Norfolk, Virginia
CEO William P. Magee Jr.
President Kathleen S. Magee
Website www.operationsmile.org

Operation Smile is a not-for-profit medical service organization based in Norfolk, Virginia (USA), founded in 1982. A secular NGO, the children's medical charity provides cleft lip and palate repair surgeries to children worldwide, assists countries in reaching self-sufficiency with these surgeries, and works to reduce the occurrence of cleft lips and palates. To date, Operation Smile has provided reconstructive surgery to over 150,000 children and young adults in more than 60 countries.[1][2]

In early 2011, Operation Smile and Smile Train announced the two charities would merge,[3][4] followed three weeks later by announcements the merger had been aborted,[5] Smile Train having canceled the union.[6]


Early history of Operation Smile

Chittagong, Bangladesh – Operation Smile team members aboard the Military Sealift Command (MSC) hospital ship USNS Mercy (T-AH-19), perform a cleft lip surgery

Operation Smile was created by Dr. Bill and Kathy Magee after they participated in a Philippine cleft repair mission in 1982 and recognized a need for more missions.

According to a 2003 interview,[7] when asked about the start of Operation Smile, Magee said:

It was guilt. We were invited to join a group going on a medical mission to the Philippines. We saw hundreds of children and saw many more turned away.

The scope of the organization increased after Mother Teresa invited Operation Smile to come to India to treat deformed children.[8]


  • Bill Magee (Dr. William P. Magee Jr., D.D.S., M.D.)
  • Kathy Magee (Kathleen S. Magee, B.S.N., M.Ed., M.S.W.)

Dr. Magee is the chief executive officer of Operation Smile. His wife, Kathy Magee, serves as the president on a full-time, volunteer basis and is a lifetime member of the Board of Directors.

Dr. William P. Magee, Jr. and Kathleen S. Magee were awarded The Spirit of Raoul Wallenberg Award from the American Swedish Historical Museum in 1998 for their work in establishing a network of professionals and volunteers engaged in restoring badly deformed faces of children.[9] Dr. Magee received the 2001 Antonio Feltrinelli Prize (Premi "Antonio Feltrinelli" awarded by the Accademia Nazionale dei Lincei for Exceptional Endeavors of Outstanding Moral and Humanitarian Value, received the U.N. Servants of Peace Award, presented the Honorary Kazanjan Lecture to the American Society of Plastic and Reconstructive Surgeons, and in 1998, received the Distinguished Service Award from the American Society of Plastic Surgeons.[10]


Operation Smile organizes international volunteer missions to provide cleft lip and palate repair in developing countries, coordinates programs for training physicians from around the world, manages programs to assist host countries in reaching cleft lip and cleft palate repair self-sufficiency, supports education and research programs to eradicate cleft lips and palates, and organizes global volunteer programs for high-school and college students.

Surgical missions

For each mission, Operation Smile verifies the credentials and organizes the participation and travel arrangements for a team of volunteers.[11] The team typically includes a mission site coordinator, plastic surgeons, anesthesiologists, a pediatrician, an intensive care physician, head or coordinating nurse, pre- and post-op nurses, child development specialists, speech pathologists,[12] dentists and/or orthodontists.

Teams are organized with volunteers from within the host nation as well as from other nations. Many of the volunteers provide important logistical (non-medical) support to the mission; they may serve as translators, medical records technicians, photographers, or help in such areas as food services, lodging, procurement of supplies, or transportation. The teams also typically include two high school students who fulfill various functions, including giving presentations on health maintenance and dental hygiene to families living near the mission site. Operation Smile coordinates the donation, purchase and delivery of medical provisions (equipment, medications, supplies) for each mission.

In 2005, these volunteer medical teams provided free surgeries for 8,359 children through international and local, in-country medical missions[citation needed]. During the fiscal year of 2009, Operation Smile provided free surgeries for nearly 13,000 children and young adults suffering from cleft lip and/or cleft palate.

Operation Smile’s partner countries include:

  • Iraq Iraq - In 2007 the health minister of Iraq's Kurdistan region, Dr. Zorban Othman, announced that Operation Smile would treat 51 Kurdish children in nearby Jordan. The Dr. stated "the step was taken because of the bad security conditions in other areas of Iraq, which makes it impossible for foreign physicians to come."[21]


World Care Program

On a case by case basis, Operation Smile will bring extraordinary craniofacial cases to Norfolk, Virginia—when mission conditions are inappropriate for the severity of the case. As of June 2007, approximately 200 World Care patients have been treated.[27] The program may be expanded to other locations.[28]

Chapters & foundations

Operation Smile has Global Resource Chapters that raise funds and awareness to support its programs. Mission teams are hosted by International Foundations that are responsible for all in-country mission logistics and that also raise funds and awareness throughout the year.

Comprehensive Care Clinics To aid countries in becoming self-sufficient at caring for cleft patients, beginning in early 2007 the organization will open seven medical clinics in Colombia, Honduras, Morocco, China, India, the Philippines and Vietnam.[29] The centers will provide surgeries and treatment, educate local volunteers, perform local development activities and manage local communications / administrative services. The center in Vietnam will treat 2,000 patients annually and train about 1,000 medical professionals.[29]

U.S. Care network

Operation Smile provides a network of resources to assist families in the U.S. with children born with facial deformities. This network is accessed through the Operation Smile Web site and includes a listing of Referral Web Sites plus a Physicians Resource List with the names of doctors available to review a case.


Operation Smile provides a framework for its partner countries to come together to share knowledge, technology and skills through the use of programs customized to each country’s specific medical infrastructure. University Partnerships offer Operation Smile medical volunteers training in advanced techniques and provide opportunities including fellowships, emeritus professorships and visiting professorship programs. Education Exchange programs are also offered through partnerships with leading medical teaching institutions.

The annual Operation Smile Physicians' Training Program (PTP) brings surgeons from around the world to the United States for training in specialized surgical skills. The program has helped train more than 650 international physicians in advanced craniofacial techniques.[10]

Operation Smile has twice hosted a global summit on medical standards in Norfolk, VA.[30][31]

Student programs

More than 600 Operation Smile Student Associations in the United States and around the world build awareness, raise funds and educate students about the values of commitment, leadership and volunteerism.

Operation Smile sends hundreds of students on missions each year. Generally two go on each mission, along with an adult sponsor. The student team takes toys and games to help keep the kids occupied while waiting for surgery. Before the students go on a mission however, they must apply and be selected to attend Mission Training Workshop (MTW), which is held twice a year. At MTW students are taught four health modules, Dental Hygiene, Oral Re-hydration Therapy, Nutrition, and Burn Care and Prevention. Students make posters for each of these modules and present them on the missions, delivering critical information teaching families simple things that can save lives.

The International Student Leadership Conference (ISLC) is a big aspect of Operation Smile Student Programs. The 2006 ISLC was held at Weber State University in Utah, and the 2005 ISLC was held at William & Mary in Virginia. The 2007 ISLC was held at the University of Limerick in Ireland. The 2008 ISLC was held at San Diego State University, the 2009 ISLC was held at Christopher Newport University in Virginia, and the 2010 was held at the University of Denver.[32]

Awards and milestones

  • In 2001 a documentary on the work by Operation Smile won the US Circle of Excellence Media Awards for Best Medical Documentary and it was the finalist in the New York Film Festival Awards for Best Humanitarian Documentary. The documentary titled The Facemakers: Operation Smile is a co-production by British television BBC 1 and American Cable the Discovery Channel in conjunction with Century Films and it documents the remarkable changes that occurred in the lives of three children as a result of Operation Smile's visit to Davao City in the Philippines in 1999[33]. The fifty minute programme was first aired on 21st June 2001. Two of the children received surgery during the mission. Nine-year-old Rozal Garces was treated for her cleft lip, and four-year-old Amorjoy Felipe had a cleft lip and palate revision. The third child, Abel Gastardo, had a condition too severe to be treated during the time of the mission. Abel suffered from a nasofrontal facial encephalocele, an extreme protrusion of brain tissue from the front of his skull. The film follows Abel to the United States to receive corrective surgery, seven months later. He was brought over by Operation Smile to receive major surgery in Virginia, at the Children's Hospital of the King's Daughters[34].
  • In 1996, Operation Smile received the first Conrad N. Hilton Humanitarian Prize to recognize outstanding contributions to alleviate human suffering.
  • To mark its 25th anniversary in November 2007, Operation Smile undertook the World Journey of Smiles (WJOS), a single campaign that included 40 simultaneous missions over a period of two weeks in 25 countries—beginning with the return to the site of Operations Smile's first mission.[35] During WJOS, Operation Smile completed 4,200 cleft lip/palate surgeries with 1,700 volunteers from 43 countries. The World Journey of Smiles also collected DNA samples from 4,200 children—the largest sampling ever made and now housed at Yale University. The previous largest sampling included the DNA of 200 children[citation needed].
  • Bill and Kathy Magee were honored on March 1, 2008 with the Norfolk First Citizen Distinguished Service Award.[8]

Criticism and response 1999-2002

In November 1999, specific patient deaths[36] brought criticism on Operation Smile's medical procedures, suggesting the organization prioritized publicity and volume over patient welfare and safety.[37][38]In response, Operation Smile conducted an internal review. Initially, the organization "promised to make public the full findings of the review," though later chose not to release the findings, considering the review "an internal matter". Several directors disagreed with this choice and left the board. Four months after announcing the review, the organization publicly admitted organizational flaws.[39] By 2002, the organization also established medical credential standards, improved medical monitoring of patients, and implemented quality and financial controls.[40]

Financial Information

  • The NGO raised $35,024,864 during the fiscal year ending June 2008. They spent 41% of the cash revenues on fundraising and administration; $11,905,507 on fundraising (33.9%) and a further $2,710,783 on management (7.7%).[41]
  • Operation Smile also operates the Operation Smile Foundation, a separate registered non-profit whose sole purpose is to raise funds for Operation Smile. The Foundation spent $7,267,834 on fundraising and raised $8,387,513 in the tax year ending June 30, 2007. The Foundation transferred a total of $781,858 to Operation Smile. http://operationsmile.org/docs/990_2006_osf.pdf
  • The organization was listed with the Forbes 2005 200 Largest U.S. Charities.
  • Operation Smile is a member of the Independent Charities of America.
  • Operation Smile does not participate in the Better Business Bureau Wise Giving Alliance listings.[42]

Operation Smile in popular culture

  • A 2007 multimedia project featured a seven-story sphere at South Street Seaport in New York, NY. Microsoft worked with Operation Smile, Digital Kitchen (a design firm) and the Wexley School for Girls (Seattle, WA) to have photographic images of visitors projected onto the sphere. (See also: Case Study)
  • A 2005 movie, Smile, directed by Jeffrey Kramer was loosely based on the experiences of a student Operation Smile volunteer.
  • Singer Jessica Simpson, actress Roma Downey[43] and television hosts Billy Bush and Nicole Lapin[44] volunteer on behalf of Operation Smile.
  • Singer Mariah Carey volunteered for The Smile Collection fundraising event in New York in 2006[13]
  • Singer/MTV television personality Chase Johnson hosted a "rock the smile" event to benefit Operation Smile.[45]
  • Operation Smile was featured on NBC's reality show The Apprentice, Thursday, April 15, 2004.[46]
  • Operation Smile is referenced repeatedly on Bravo's teen reality show NYC Prep.[47]
  • Operation Smile is referenced in episode 3 of TNT's television series Franklin and Bash.


  • In 2002, Operation Smile was featured in a Mr. Potato Head contest, with proceeds to benefit the NGO.[48] Hasbro continues to donate Mr. Potato Head toys for Operation Smile missions.[49]
  • An ongoing co-branding campaign between Operation Smile and Sephora combines the NGO's name with the companies products, raising over $400,000 for the NGO.[50] The Operation Smile Sephora Lip Baume was listed at number five on Lara Spencer's "Lara's Hot Shopping List, Hot Products for Women".[51]
  • An ongoing co-branding campaign between Operation Smile and AriZona Iced Tea features the tea company's three best selling (one liter) products' labels replaced with Operation Smile branded messaging, mission statement and photos of children with cleft repairs.[52]
  • In 2007 Lladró unveiled a collection of porcelain, including a piece inspired by Gustav Klimt’s painting The Kiss, proceeds from which were to benefit the NGO.[53]
See also: Co-branding and Marketing co-operation
See also: external article on co-branding: When Two Brands are Better than One

Film Producer, Director, Producer, and Author Perry Moore ("The Chronicles of Narnia, Executive Producer; author of the LAMBDA award-winning HERO) was a student volunteer in 1988 and, trained as a scrub and health care advisor, he was part of the team that traveled to Manila and then to Naga City in the Philippines.

Headquarters relocation

Operation Smile announced in late 2007 that it would relocate its world headquarters approximately 16 miles (26 km) from its current location in Norfolk, to a new building in Virginia Beach.[54] The projected 65,000-square-foot (6,000 m2) building is sited adjacent to a projected regional health profession center to be built by Tidewater Community College. The headquarters will occupy land owned by the city of Virginia Beach and will receive funds from the city for site improvements, including landscaping, utility service and sidewalks.

See also


  1. ^ "Operation Smile: 25 years, missions in 25 countries". Amednews.com. http://www.ama-assn.org/amednews/2006/10/23/prse1023.htm. 
  2. ^ "Program fixes kids' smiles around the world". The Huntsville Times.com. http://www.al.com/healthfit/huntsvilletimes/index.ssf?/base/living/1194949224193070.xml&coll=1. 
  3. ^ "Smile Train and Operation Smile Boards Agree to Merge". PR Newswire. February 14, 2011. http://www.prnewswire.com/news-releases/smile-train-and-operation-smile-boards-agree-to-merge-116178239.html. 
  4. ^ "Operation Smile and Smile Train to merge charities". The Virginian Pilot, Pilotonline.com, February 15, 2011. http://hamptonroads.com/2011/02/operation-smile-and-smile-train-merge-charities. 
  5. ^ "2 Charities Set to End a Merger, Papers Say". The New York Times. March 6, 2011. http://www.nytimes.com/2011/03/07/business/07charity.html?_r=1&scp=1&sq=operation%20smile&st=cse. 
  6. ^ "Smile Organizations Break Off Engagement". The Non-Profit Times, Mark Hrywna. March 7, 2011. http://www.nptimes.com/11Mar/03072011.html. 
  7. ^ "Dr. William P. Magee's Operation Smile: 20 Years Putting Smiles on People’s Faces". Hour of Power. http://www.hourofpower.org/interviews/bill.magee.html. 
  8. ^ a b "Operation Smile co-founders named Norfolk's First Citizens". The Virginian-Pilot, Pilotonline.com Feb 27 2008. http://hamptonroads.com/2008/02/operation-smile-cofounders-named-norfolks-first-citizens. 
  9. ^ The Spirit of Raoul Wallenberg Award http://www.americanswedish.org/wallenberg2009.htm
  10. ^ a b "Bio: William P. Magee, Jr. DDS, MD Dental School, 1969". University of Maryland, Baltimore. http://founders.umaryland.edu/alumni/magee.html. 
  11. ^ a b "ODU Nursing Professor Travels to Bangladesh for medical diplomacy mission". Old Dominion University News. http://www.odu.edu/webroot/orgs/IA/university_news.nsf/articles/08222006081638AM. 
  12. ^ "Charity A Speech-Language Pathologist in Vietnam". American Speech-Language-Hearing Association. http://www.asha.org/about/publications/leader-online/archives/2001/vietnam.htm. 
  13. ^ a b "Transworldnews.com: Celebrities Continue to Join Effort Marking 25th Anniversary". http://www.transworldnews.com/NewsStory.aspx?id=25106&cat=10. 
  14. ^ "Operation Smile Partners with Navy in Humanitarian Mission". U.S. Department of Defense. http://www.defenselink.mil/news/newsarticle.aspx?id=46460. 
  15. ^ "Southern California Physician: Doctors On a Mission". http://www.socalphys.com/article/articles/656/1/Doctors-On-a-Mission/Page1.html. 
  16. ^ "Operation Smile performs 150 surgeries By Brendan Brady". http://www.phnompenhpost.com/TXT/current/stories/1623/operat.htm. 
  17. ^ "Prom Gown Benefit Sale to Help Operation Smile's Important Work". http://www.theledger.com/apps/pbcs.dll/article?AID=/20070211/NEWS/702110363/1237/CAMPUS50. 
  18. ^ a b c "American Forces Press Service: Operation Smile Partners with Navy in Humanitarian Mission". http://www.defenselink.mil/news/newsarticle.aspx?id=46460. 
  19. ^ "Charity helps children smile again". Vietnam News. http://vietnamnews.vnagency.com.vn/showarticle.php?num=04SOC171107. 
  20. ^ "Children receive free facial surgeries from US programme". Vietnam News. http://vietnamnews.vnagency.com.vn/showarticle.php?num=01HEA310505. 
  21. ^ "Organization to treat 51 Kurdish children". Iraq Updates - April 23, 2007. http://www.iraqupdates.com/p_articles.php/article/16683. 
  22. ^ World Journey of Smiles
  23. ^ Smile Ambassador for Operation Smile
  24. ^ Dhani Jones
  25. ^ Operation Smile’s Wilt Chamberlain Award
  26. ^ "Regine Velasquez gives joy to children via “Operation Smile’". 10/07/2010 11:24 PM. 10/07/2010 11:24 PM. http://www.gmanews.tv/story/202898/regine-velasquez-gives-joy-to-children-via-operation-smile. Retrieved 12,15,2010. 
  27. ^ "Over 200 children helped through Operation Smile's World Care Program". WVEC News, Norfolk,VA June 5, 2007. http://www.wvec.com/news/health/stories/wvec_medical_060507_operation_smile.1afe70a4.html. 
  28. ^ "Doctors to take away Muriel's 'pain'". Sunday Tribune, South Africa, 16 December 2007. http://www.sundaytribune.co.za/?fSectionId=&fArticleId=vn20071216122835908C920538. 
  29. ^ a b "Operation Smile to open clinic in Vietnam to treat face deformities". The Virginian-Pilot, March 20, 2007. http://hamptonroads.com/node/239181. 
  30. ^ "Operation Smile exports U.S. good will". The Virginian-Pilot, February 10, 2007. http://hamptonroads.com/node/220781. 
  31. ^ "Operation Smile to develop new care standards at local meeting". The Virginian-Pilot, February 9, 2007. http://hamptonroads.com/node/220561. 
  32. ^ "EHS sophomore learns leadership in Ireland". Seacoast Online, August 10, 2007. http://www.seacoastonline.com/apps/pbcs.dll/article?AID=/20070810/NEWS/708100398/-1/NEWS. 
  33. ^ http://www.youtube.com/watch?v=exKAR9gkXUM
  34. ^ http://www.centuryfilmsltd.com/the-facemakers.htm
  35. ^ "Journey of smiles’ began here, now in 25 nations". Inquirer.net/Philippine Daily Inquirer 11/19/2006. http://newsinfo.inquirer.net/inquirerheadlines/nation/view_article.php?article_id=33464. 
  36. ^ Kettle, Martin (November 25, 1999). "Charity faces inquiry on child deaths". London: The Guardian (UK). http://www.guardian.co.uk/print/0,,3934469-103681,00.html. Retrieved May 20, 2010. 
  37. ^ "Charges of Shoddy Practices Taint Gifts of Plastic Surgery". The New York Times, Reed Abelson with Elisabeth Rosenthal, November 24, 1999. November 24, 1999. http://query.nytimes.com/gst/fullpage.html?sec=health&res=9F0DE1D61E3CF937A15752C1A96F958260&n=Top%2FNews%2FHealth%2FDiseases%2C+Conditions%2C+and+Health+Topics%2FPlastic+Surgery. Retrieved May 20, 2010. 
  38. ^ "Whirlwind of Facial Surgery By Foreigners Upsets China". The New York Times, Elisabeth Rosenthal with Reed Abelson, November 25, 1999. November 25, 1999. http://query.nytimes.com/gst/fullpage.html?res=990DE1D9163FF936A15752C1A96F958260&sec=&spon=&pagewanted=1. Retrieved May 20, 2010. 
  39. ^ "Charity Promises Sweeping Changes After Review". The New York Times, Reed Abelson, April 12, 2000. April 12, 2000. http://query.nytimes.com/gst/fullpage.html?sec=health&res=9C05E3DE123EF931A25757C0A9669C8B63. 
  40. ^ "A New Leader, A New Image". The Virginian Pilot, Elizabeth Simpson, December 30, 2002. http://epilot2.hamptonroads.com/Default/Scripting/ArticleWin.asp?From=Archive&Source=Page&Skin=VirginianPilotA&BaseHref=VirginianPilot/2002/12/30&EntityId=Ar00100&ViewMode=HTML. 
  41. ^ 2008 form 990
  42. ^ [1]
  43. ^ Morgan, John (November 4, 2003). "Roma Downey works miracles with Operation Smile". USAtoday. http://www.usatoday.com/news/health/spotlighthealth/2003-11-04-roma_x.htm. Retrieved May 20, 2010. 
  44. ^ http://www.operationsmile.org/about_us/our-supporters/smile-ambassadors/nicole-lapin.html
  45. ^ look to the stars (2009-01-27). "chase johnson rocks the smile". look to the stars. http://www.looktothestars.org/news/1953-chase-johnson-rocks-the-smile. Retrieved 2009-02-11. 
  46. ^ "Bill Rancic Becomes The Apprentice". NBC.com. http://www.nbc.com/nbc/The_Apprentice/weekly_recap/. 
  47. ^ Kinon, Cristina (July 22, 2009). "NYC Prep Mona Lisa Smile". New York: NYdailynews.com. http://www.nydailynews.com/blogs/ilovetowatch/2009/07/nyc-prep-mona-lisa-smile.html. 
  48. ^ Kaus, Danek S. (March 17, 2002). "Waiting for that winning smile to pay off? This spud's for you". Silicon Valley / San Jose Business Journal. http://www.bizjournals.com/sanjose/stories/2002/03/18/newscolumn4.html. 
  49. ^ "Hasbro supports Smiles". Playthings.com 7/17/2007. http://www.playthings.com/article/CA6461046.html. 
  50. ^ "Operation Smile/Sephora". http://www.reingold.com/marketing/sephora.html. 
  51. ^ "Lara's Hot Shopping List, Hot Products for Women". abcnews.go.com. http://abcnews.go.com/GMA/story?id=126749&page=1. 
  52. ^ "Arizona Beverages Donates Percentage of Net Sales to Operation Smile". PRWeb.com. http://www.prweb.com/releases/2006/8/prweb428930.htm. 
  53. ^ "Lladró Porcelain Unveiling and Signing Benefit". SanFrancisco.com. http://www.sanfrancisco.com/lladr-porcelain-unveiling-and-signing-benefit-e100851. 
  54. ^ "Operation Smile moving from Norfolk to new Beach building". Virginian Pilot. http://hamptonroads.com/node/343671. 

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