The inspiring story behind Saudi Arabia’s Conjoined Twins Program

KSrelief Supervisor-General Dr. Abdullah Al-Rabeeah hosted a media roundtable to discuss the goals and expectations of the two-day conference. (SPA)
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Updated 24 November 2024
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The inspiring story behind Saudi Arabia’s Conjoined Twins Program

RIYADH: Ahead of the International Conference on Conjoined Twins held in Riyadh, Saudi aid agency KSrelief Supervisor-General Dr. Abdullah Al-Rabeeah hosted a media roundtable on Saturday to discuss the goals and expectations of the two-day conference that concludes on Nov. 25.

Recalling the inspiration behind the Saudi Conjoined Twins Program, Al-Rabeeah explained that in 1990, amid the Second Gulf War, a set of Sudanese conjoined twins, Samah and Heba, were seeking financial support from King Fahd to get treatment abroad.

King Fahd brought the issue to Al-Rabeeah’s team at the time at King Faisal Specialist Hospital and Research Center, and after months of tests and deliberations, they completed the first successful conjoined twins separation surgery in the Kingdom.

The operation took 18 and a half hours.

“We started to invest in the nationalization of the medical team until … all specialties were from Saudi Arabia,” Al-Rabeeah said. “Today we have seen 143 sets over 34 years. We have separated 61 sets with 100 percent success … and we have 7 sets waiting to be separated.”

King Abdullah Specialized Children’s Hospital now has the only known conjoined twins operating room.

King Salman and Crown Prince Mohammed bin Salman moved this program under KSrelief to support low-income families and families from conflict zones.

“Humanity has no politics, no boundaries, no religion, and no color,” said Al-Rabeeah.

The conference will cover a range of topics, including the candidacy process, antenatal and post-natal care, cardiac conditions, ethical considerations, reconstruction, and 3D imaging.

Al-Rabeeah also said the conference is set to discuss and sign several UN agreements related to children, including on conjoined twins, polio vaccination in Afghanistan, artificial limbs, infectious diseases in children, and the children of Gaza.

He also spoke about the importance of combining medical knowledge in the Gulf and working together to create specialized centers across the region for different matters, to make operations more cost-effective and advanced.

“Science is not owned, it is for everybody,” the Saudi aid agency chief said.

On the technological developments that are optimizing this procedure, Al-Rabeeah mentioned the use of argon lasers, ultrasonic knives, new electric coatings to avoid bleeding, less sensitive prosthetics, and, most importantly, early diagnosis.

Al-Rabeeah said that the greatest research in this program has been done on early detection of conjoined twins in the womb. They are now capable of detecting conjoined twins sometimes at just eight to 10 weeks.

Al-Rabeeah’s most crucial piece of advice is urging women to start prenatal care early.

The importance of psychological care for both the patients and the families was also discussed. Al-Rabeeah pointed out what is referred to as “separation trauma” that twins endure when learning how to adjust to their bodies after having been connected all their lives.

“The twins, they have pain, they have suffered. I have seen two kinds of tears in my life. We all know about the tears of despair, the tears of pain. But with conjoined twins, I have seen clearly the tears of happiness and joy.

“When I come out of the operating room, going in with one bed, and coming out with two beds … this is the best moment in my life.”


Rebuilding lives: Saudi initiative gives fresh hope to amputees

Updated 08 December 2025
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Rebuilding lives: Saudi initiative gives fresh hope to amputees

  • Baitureh Health Association has provided life-changing support to more than 1,000 people
  • Prosthetic limbs can cost up to $76,000

MAKKAH: The Baitureh Health Association for the Care of Amputees has quickly become one of Saudi Arabia’s most impactful humanitarian initiatives, transforming support for people with lost limbs.

Established in 2020, the association deals with people’s physical, psychological and social needs and fills a long-standing gap in the national health system.

CEO Badr bin Alyan told Arab News that the initiative was created in response to a growing need, driven by amputations linked to accidents, blood disorders, occupational injuries and other causes.

Its operations were “based on service integration rather than fragmentation, enabling beneficiaries to return to their lives with confidence, ability and independence,” he said.

This holistic process covers everything from initial evaluations to psychological and physical rehabilitation, family support, prosthetic fitting and ongoing maintenance.

Its psychological support programs include group sessions led by certified mentors who have undergone similar experiences, as well as field visits to support patients before and after amputation.

More than 1,000 people across the Kingdom have so far benefitted from the association’s work, about 10 percent of them children, whom Alyan said were “the most sensitive and the most in need of intensive psychological and family support.”

Its specialist programs for children — My First Step and Therapeutic Entertainment — help young people adapt to prosthetics, overcome trauma and build confidence in a safe and supportive setting.

The association has completed more than 300 prosthetic fittings, including silicone cosmetic limbs, mechanical, hydraulic, electronic and 3D-printed models. 

Alyan said the type of prosthetic selected depended on a number of factors, such as age, lifestyle, type of amputation, activity level and psychological readiness.

Children also have to undergo frequent adjustments to their new limbs to account for their growth.

Each prosthetic cost between SR20,000 ($5,300) and SR285,000, Alyan said.

The association funds its work through sponsorships, community contributions and strategic partnerships.

Despite its success, Alyan said there were still challenges to be faced, including the lack of a consolidated base for the provision of psychological support and therapy services and prosthetics development and maintenance.

There was also a shortage of local experts, he said.

In response, the association set up a rehabilitation center, which Alyan said would help to localize prosthetics manufacturing, reduce costs and accelerate fitting processes and create opportunities for local experts to develop their knowledge and experience.

But providing prosthetics was only part of the association’s work, he said.

“Rebuilding a human life is the deeper goal.”