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meet self and Marla the two year old twins joined at the head who underwent multiple operations to separate their skulls brains and blood vessels , the doctors who perform the procedures said on Tuesday it was the most complex surgery they ever carried out the really important thing is the sap be able to separate the brain successfully and then repair the skull over the top of it so that you have a two complete people at the end two and three just come up some fun tomorrow %HESITATION we're born in Pakistan in twenty seventeen with a condition known as cranial progress meaning that skulls and parts of their brains would join dent intertwines so we can see the entree but to do anything to it what is the marks the separation was helped by state of the art technology including virtual reality and three dimensional rapid prototyping this allowed the surgeons to use images of the girls brains and blood vessels to plan and practice the surgery in advance then my work starts I'd go to repair the heads and %HESITATION and give them as a protected brain at the end of it so %HESITATION the separation is by no means the end of their journey this central segment will be all Richard Kiel yeah it's a hold up ahead together being all that that pretty active and so whatever we do really has to be strong enough to resist the twisting and bending forces that they'll be putting on their heads the procedures took place at London's great Ormond street hospital in February and the girls were well enough to be discharged four months later they're making the recovery of the moment but it's a little too early to be able to comment %HESITATION definitively about their future so we're optimistic %HESITATION that they will make a good recovery , it stores around fifty sets of cranial because twins are born every year of them only around fifteen thought to survive be on the first thirty days of life