Fourth pair of Filipino twins set to fly to Riyadh next week for separation surgery

Olivia and Gianna Manuel, and their parents, meet Saudi Ambassador Faisal Ibrahim Al-Ghamdi at the Kingdom's embassy in Manila, on Dec.16, 2025. (Saudi Embassy in Manila)
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Updated 21 January 2026
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Fourth pair of Filipino twins set to fly to Riyadh next week for separation surgery

  • Born in April 2024, Olivia and Gianna Manuel are joined from the chest to the abdomen
  • Their mother learned about Saudi Conjoined Twins Program from social media updates

MANILA: As they prepare to travel to Riyadh next week for separation surgery, the parents of Olivia and Gianna Manuel have renewed hopes that their children will grow up like others, as they have become the fourth pair of Filipino twins to be taken care of by the Saudi Conjoined Twins Program.

The girls from the town of Talavera in the central Philippine province of Nueva Ecija were born in April 2024.

They are joined from the chest to the abdomen, a condition known as omphalopagus.

“They can’t eat properly. It’s really difficult for them. When one is lying down, the other often gets pinned down because the bigger one is very hyper. The smaller one is usually underneath,” the children’s mother, Ginalyn Manuel, told Arab News.

“When they’re lying down or sleeping, even if one still wants to sleep, she’s forced to wake up because the other keeps moving.”

She first learned about the Saudi Conjoined Twins Program when she followed social media updates on Akhizah and Ayeesha Yusoph, the second pair of Filipino twins to undergo separation surgery in Saudi Arabia.

At that time, she was still in the hospital with the girls, closely monitored by doctors for three months after they were born. She then reached out to the King Salman Humanitarian Aid and Relief Center, which runs the conjoined twins program, and in July last year, a hospital in Riyadh got in touch with her.

After various steps of medical qualification, the Saudi Embassy in Manila announced the girls would soon travel to the Kingdom with their parents to undergo the separation procedure.

They are scheduled to fly to Riyadh on Jan. 26.

“Out of so many people, we were given the chance for our twins to be separated. If it were just us, we really couldn’t afford it. The help from the Saudi government is truly enormous,” Manuel said.

“I imagine them playing here, already apart, walking on their own. It feels so good just thinking about it. That’s what I always include in my prayers — that their separation surgery will be successful.”

Saudi Arabia is known as a pioneer in the field of separation surgery. KSrelief was established by King Salman in 2015 and is headed by Dr. Abdullah Al-Rabeeah, one of the world’s most renowned pediatric surgeons.

Since 1990, he and his team have separated more than 140 children from 27 countries who were born sharing internal organs with their twins.

The first pair of Filipino conjoined twins, Ann and Mae Manzo, were separated under the program in March 2004. They were joined at the abdomen, pelvis and perineum.

They were followed by the Yusoph twins, who were joined at the lower chest and abdomen and shared one liver. Their successful separation procedure was in September 2024.

The third pair of Filipino conjoined twins, Maurice Ann and Klea Misa, who are joined at the head, flew to Riyadh in May and are currently being prepared for their surgery.


Faced with Trump, Greenlanders try to reassure their children

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Faced with Trump, Greenlanders try to reassure their children

NUUK: In a coffee shop in Greenland’s capital Nuuk, Lykke Lynge looked fondly at her four kids as they sipped their hot chocolate, seemingly oblivious to the world’s convulsions.
Since Donald Trump returned to the White House last year with a renewed ambition to seize Greenland, international politics has intruded into the Arctic island’s households.
Dictated by the more or less threatening pronouncements of the US president, it has been an unsettling experience for some people here — but everyone is trying to reassure their children.
Lynge, a 42-year-old lawyer, relied on her Christian faith.
“There’s a lot of turmoil in the world,” she said. “But even if we love our country, we have even higher values that allow us to sleep soundly and not be afraid,” she said.
As early as January 27, 2025, one week after Donald Trump’s inauguration, the Greenlandic authorities published a guide entitled “How to talk to children in times of uncertainty?“
“When somebody says they will come to take our country or they will bomb us or something, then of course children will get very scared because they cannot navigate for themselves in all this news,” said Tina Dam, chief program officer for Unicef in the Danish territory.

- Unanswerable questions -

This guide — to which the UN agency for children contributed — recommends parents remain calm and open, listen to their children and be sensitive to their feelings, and limit their own news consumption.
As in many parts of the world, social media, particularly TikTok, has become the primary source of information for young people.
Today, children have access to a lot of information not meant for them, said Dam — “and definitely not appropriate for their age,” she added.
“So that’s why we need to be aware of that as adults and be protective about our children and be able to talk with our children about the things they hear — because the rhetoric is quite aggressive.”
But reassuring children is difficult when you do not have the answers to many of the questions yourself.
Arnakkuluk Jo Kleist, a 41-year-old consultant, said she talked a lot with her 13-year-old daughter, Manumina.
The teenager is also immersed in TikTok videos but “doesn’t seem very nervous, luckily, as much as maybe we are,” she added.
“Sometimes there are questions she’s asking — about what if this happens — that I don’t have any answers to” — because no one actually has the answer to such questions, she said.

- ‘Dear Donald Trump’ -

The Arctic territory’s Inuit culture also helped, said Kleist.
“We have a history and we have conditions in our country where sometimes things happen and we are used to being in situations that are out of our control,” said Kleist.
“We try to adapt to it and say, well, what can I do in this situation?“
Some Greenlandic children and teenagers are also using social media to get their message out to the world.
Seven-year-old Marley and his 14-year-old sister Mila were behind a viral video viewed more than two million times on Instagram — the equivalent of 35 times the population of Greenland.
Serious in subject but lighthearted in tone, the boy addresses the American president.
“Dear Donald Trump, I have a message for you: you are making Greenlandic kids scared.”
Accompanied by hard stares, some serious finger-wagging and mostly straight faces, he and his sister go on to tell Trump: “Greenland is not for sale.”
“It’s a way to cope,” his mother, Paninnguaq Heilmann-Sigurdsen, told AFP of the video. “It’s kid-friendly, but also serious.
“I think it’s a balance between this is very serious, but also, this is with kids.”