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Binh Thuan is one of the poorest provinces in Vietnam. It isn't a place where patients can receive the most modern and up-to-date medical care.

"The hospital...was horribly poor and the supplies were horribly out of date," says Ginger Robinson, speaking about a rural hospital in south-central Vietnam. "Rats were running in and out of the hospital."

Robinson is a nurse. She and her husband, Randolph Robinson, an oral and maxillofacial surgeon, run an organization that helps people who live in such poverty.

Strictly done on volunteer time, the Robinsons organize crews of oral and maxillofacial surgeons to visit poor countries around the world. They have visited countries such as Costa Rica, China and Bolivia. On these trips, they correct facial deformities such as cleft palates and remove cancerous tumors.

Most recently, Robinson and four other team members visited Vietnam. In addition to visiting Ho Chi Min City, the group traveled south to a more rural location near the dune-covered beaches of the South China Sea. The crew of five screened patients. With the help of Vietnamese doctors, they selected 25 patients that they could operate on.

Many of the people, hoping to receive the surgery, boated as far as 37 miles from various islands in the South China Sea.

At the hospital, the Vietnamese doctors and the American doctors operated at two separate tables in the same operating room. "That way, they could be there if something went wrong," explains Ginger, who coordinates the missions from their home base in Colorado.

Over two days, the oral surgeons corrected cleft palates and cleft lips. Although most of the patients were children, some adults also received surgery. "Randy saw one woman who came in with her son who had a cleft lip," says Ginger. "She was a young woman whose husband had died at sea."

But it wasn't just her son who needed help. "She also had a cleft lip. But she came in only wanting help for her son. She just wanted to do something for him."

Randy insisted on helping the mother as well. "After some time, she yielded and they both went home with incisions," says Ginger. "It's deeply rewarding to be able to help in situations like that."

Time spent volunteering means that the Robinsons earn less of an income at their surgery practice in Colorado. But Ginger says it's worth every penny. "You can't put a monetary value on helping so many people," she says. "We both decided long ago we wanted to do something to help others.

"It isn't always easy, but you are doing something that is life-changing and in some cases life-saving for people. In the long term, that is much more important."

Whether working in hospitals around the world or close to home, oral and maxillofacial surgery is all about helping others. "The work really has an impact on people's lives," says Benjamin Davis. He is an oral and maxillofacial surgeon.

"You're working with people who have facial deformities and tumors. What we do can truly help them feel and look better."

Jack Klatell is a professor and chair of the dentistry department at Mount Sinai in New York. He agrees. "As with surgery of any sort, there is a rewarding aspect to it," he says.

"What we do is largely cosmetic and it's exciting to help someone who may have a cleft palate or who has fractures from a car accident."

If you visit an oral surgeon in North America, you are likely going to see a male doctor. "We would love to change that," says Marquita Hynes. She is a communications staff associate at the American Association of Oral and Maxillofacial Surgeons (AAOMS) in Illinois.

"Of course we have more women coming into the field, but there are certainly still far more men," she says. "It is much like engineering and similar fields. Women are entering the programs, but there are still far more men. It takes time for things to change."

Students in high school who are thinking about becoming oral surgeons should brush up on math and science. However, it isn't always necessary to pursue the sciences in university. "Generally, those interested have an interest in math and sciences, but not always," says Hynes.

"This is for those who truly enjoy working with others," says Davis. "You have to want to help others."

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