Children with cleft lip and palate can get surgery in Guatemala. While not easy to arrange, it is at least possible to travel to urban centers and connect up with visiting surgeons who perform the surgery. Speech therapy, on the other hand, is non-existent in rural Guatemala. When the Community Health Workers found out that Julie Smith was studying speech pathology, they spoke to her about the many children in the villages who had had surgery for their congenital cleft lip an