Since 2001 Pearl has been coming back to the Philippines as part of ORH. As a Registered Nurse who speaks Tagalog she plays an important part both pre and post operation, translating instructions and details to patients, parents & relatives, surgeons and anaesthetists. She feels privileged to be able to help her countrymen in such a meaningful way and to see the reaction of parents after their children have had a cleft operation. For Pearl ORH is also a chance to meet different people from all over the world who come together to work on the mission. “The Philippines is blessed to have all these surgeons, anaesthetists and nurses from overseas coming each year to help us”.