Brain Damaged Child and Father Cleft Palate and Cleft Lip Surgery in Kerala, India- Image 1 Dr. Adenwalla, a Smile Train surgeon, consults with a father about a cleft lip operation on his son. The child is severely brain damaged and will never speak making a cleft palate and lip repair a subject of discussion between the doctor and father. Cleft palate repairs are most often done to fix speech impediments. Smile Train is a non-profit organization that funds free cleft palate and cleft lip repairs around the world.