PDG Tonya Watson introduced Paula Rand, and Sheila Mackell, both pediatricians and veterans of several Rotaplast trips.  Rotaplast was founded in 1992 by the San Francisco Rotary Club.   They are committed to helping children and their families worldwide by eliminating cleft lip and/or palate, which is the 4^th most common birth defect.  Their first mission was in Chile, where they helped 132 patients, and have now helped over 20,000 patients worldwide, with 13 missions currently scheduled for 2020.  Each mission takes approximately a year and a half from beginning planning to completion, with an average of 25 – 30 team members, about 2/3 of which are medical professionals.  Rotaplast provides medical supplies valued at $45,000 per mission, transports $160,000 of durable medical equipment, staffs the team, covers the cost of transporting the medical personnel, and makes travel arrangements for the entire team.  After an average travel time of 2 to 3 days, the volunteers spend a day screening the patients, followed by 6 to 8 days of surgery, and a follow up day when patients are examined again and parents are given post op instructions.  Saving Smiles.  Changing Lives.