Health Team

Conjoined Twins Fast Facts

Here's some background information about conjoined twins.

Posted Updated

CNN Library
(CNN) — Here's some background information about conjoined twins.

Conjoined twins are physically connected to one another at some point on their bodies.

Conjoined twins occur once every 200,000 live births, according to the University of Maryland Medical Center.

About 70% of conjoined twins are female.

Conjoined twins are identical - they are the same sex.

The form of conjoined twinning refers to the point where the twins are joined. The top five, starting with the most frequent: thoracopagus (heart, liver, intestine), omphalopagus (liver, biliary tree, intestine), pygopagus (spine, rectum, genitourinary tract), ischiopagus (pelvis, liver, intestine, genitourinary tract), and craniopagus (brain, meninges). (Mayo Clinic)

Scientists believe that conjoined twins develop from a single fertilized egg that fails to separate completely as it divides.

The term "Siamese twins" originated with Eng and Chang Bunker, a set of conjoined twins who were born in Siam (now Thailand) in 1811. They lived to age 63 and appeared in traveling exhibitions. Chang and Eng both married and fathered a total of 21 children between them.

In 1955, neurosurgeon Dr. Harold Voris of Mercy Hospital in Chicago performed the first successful procedure separating conjoined twins joined at the head.

Selected Cases:

Lea and Tabea BlockBorn August 9, 2003, in Lemgo, Germany, to Peter and Nelly Block. They are joined at the head.

September 16, 2004 - The girls are separated. Tabea dies shortly thereafter.

Jade and Erin BucklesBorn February 26, 2004, to Melissa and Kevin Buckles at National Naval Medical Center in Bethesda, Maryland. They share a liver.

June 19, 2004 - They are successfully separated.

Tatiana and Anastasia DogaruBorn January 13, 2004, in Rome to Romanian parents Claudia and Alin Dogaru. They are connected at the head.

June 7, 2007 - Scheduled surgery to separate the girls is halted after doctors notice brain swelling in one of the girls.

August 2007 - Doctors at University Hospital's Rainbow Babies & Children's Hospital in Cleveland announce that they will not proceed with separation of the girls because the surgery is too risky.

Abbigail and Isabelle CarlsenBorn November 29, 2005, in Fargo, North Dakota, to Amy and Jesse Carlsen. They are joined at the abdomen and chest.

May 12, 2006 - A team of 30 people, including 18 surgeons from various specialties at the Mayo Clinic in Rochester, Minnesota perform a successful operation to separate the girls.

Regina and Renata Salinas Fierros Born August 2, 2005, in Los Angeles to Sonia Fierros and Federico Salinas. Born facing each other and joined from the lower chest to the pelvis, they are fused in several places including the liver and genitals, and they share a large intestine. Regina is born with one kidney.

June 14, 2006 - The twins are separated during a day-long surgery at Children's Hospital Los Angeles.

Abygail and Madysen FittererBorn August 8, 2006, to Stacy and Suzy Fitterer from Bismarck, North Dakota. They are born joined at the abdomen and share a liver.

January 3, 2007 - Separated in a surgery at the Mayo Clinic.

Preslee Faith and Kylee Hope WellsBorn October 25, 2008, in Oklahoma City to Stevie Stewart and Kylie Wells. They are attached at the chest and are believed to be the first Native American conjoined twins.

January 19, 2009 - Separated at Children's Hospital at OU Medical Center in Oklahoma City. Both survive but are listed in critical condition after the surgery.

February 19, 2011- Preslee Faith Wells dies at The Children's Center in Bethany, Oklahoma.

Arthur and Heitor Rocha BrandaoBorn April 2009 in Bahia, Brazil, to Eliane and Delson Rocha. They are joined at the hip and share a bladder, intestines, liver and genitals. The twins only have three legs between them.

February 24, 2015 - The five-year-old twins undergo a 15-hour separation surgery after months of preparation. Arthur dies three days later after he suffers cardiac arrest.

Angelica and Angelina SabucoBorn August 2009 in the Philippines to Fidel and Ginady Sabuco. They are joined at the chest and abdomen.

November 1, 2011 - Are successfully separated after a 10-hour surgery at Lucile Packard Children's Hospital in San Jose, California.

Hassan and Hussein BenhaffafBorn December 2, 2009, in London to Angie and Azzedine Benhaffaf from East Cork, Ireland. They are attached at the chest but share no major organs.

April 8, 2010 - Undergo a 14-hour separation surgery at Great Ormond Street Hospital. Both survive.

Maria and Teresa TapiaBorn April 8, 2010, in the Dominican Republic to Lisandra Sanatis and Marino Tapia. They are joined at the lower chest and abdomen and share a liver, pancreatic glands, and part of their small intestine.

November 8, 2011 - Are successfully separated following a 20-hour procedure.

Joshua and Jacob SpatesBorn January 24, 2011, in Memphis, Tennessee, to Adrienne Spates. They are joined back to back at the pelvis and lower spine, each with separate hearts, heads and limbs.

August 29, 2011 - Are successfully separated after a 13-hour surgery.

October 2013 - Jacob Spates passes away. The cause of his death is not released.

Rital and Ritag GabouraBorn September 22, 2010, in Khartoum, Sudan, to Abdelmajeed and Enas Gaboura. They are joined at the head.

August 15, 2011 - Are successfully separated after a four-stage operation. Two operations took place in May, one in July and the final operation in August.

Allison June and Amelia Lee TuckerBorn March 1, 2012, to Shellie and Greg Tucker. They are attached at the lower chest and abdomen and share their chest wall, diaphragm, pericardium and liver.

November 7, 2012 - Are successfully separated after a seven-hour surgery at Children's Hospital Philadelphia.

A'zhari and A'zhiah LawrenceBorn October 10, 2012, in Virginia to Nachell Jones and Carlos Lawrence. They are joined from the chest to the abdomen and have a conjoined liver.

October 25, 2012 - An emergency surgery is performed to separate their liver.

April 22, 2013 - Are successfully separated following 14 hours of surgery.

October 14, 2013 - A'zhari passes away.

Emmett and Owen EzellBorn July 15, 2013, in Dallas to Jenni and Dave Ezell. They are joined at the liver and the intestine.

August 24, 2013 - Are successfully separated.

Knatalye Hope and Adeline Faith MataBorn April 11, 2014, in Houston to Elysse and John Matta. They are joined at the chest, sharing a liver, heart lining, diaphragm, intestines and colon.

February 17, 2015 - A team of 12 surgeons separate the sisters during a 26-hour procedure.

Erika and Eva SandovalBorn August 10, 2014, in California to Aida and Arturo Sandoval. They are joined at the lower chest and upper abdomen and share a liver, bladder, two kidneys and three legs.

December 6-7, 2016 - Are successfully separated after 17 hours of surgery at Lucile Packard Children's Hospital Stanford in California.

Acen and Apio AkelloBorn September 23, 2014, in Uganda to Ester Akello. They are joined at the hip and pelvis.

September 3, 2015 - After more than 30 medical specialists help to separate the girls' spinal cord, the 16-hour surgery at Nationwide Children's Hospital in Ohio is successful. The medical specialists used 3-D printing to create anatomies similar to the girls to prepare for the surgery.

Carter and Conner MirabalBorn December 12, 2014, in Jacksonville, Florida, to Michelle Brantley and Bryan Mirabal. They are joined at the sternum and abdomen and share a liver and part of their small intestines.

May 7, 2015 - Are successfully separated after 12 hours of surgery at Wolfson Children's Hospital in Florida.

Scarlett and Ximena TorresBorn May 16, 2015, in Corpus Christi, Texas to Silvia Hernandez and Raul Torres. Scarlett and Ximena are connected below the waist, sharing a colon and a bladder.

April 12, 2016 - Scarlett and Ximena are separated during a 12-hour procedure at the Driscoll Children's Hospital in Texas.

Anias and Jadon McDonaldBorn on September 9, 2015, in Chicago to Nicole and Christian McDonald. They are joined at the head.

October 13-14, 2016 - Anias and Jadon are successfully separated after 27 hours of surgery at the Children's Hospital at Montefiore Medical Center in New York.

November 8, 2016 - The lead surgeon tells CNN that the twins are recovering "right on target, if not ahead of schedule."

Dawa and Nima PeldenBorn on July 13, 2017, in Bhutan to Bhumchu Zangmo. They are joined at the abdomen.

October 10, 2018 - Surgery is postponed in order to give the girls additional nutritional support.

November 9, 2018 - Dawa and Nima are successfully separated after a six hour surgery at Melbourne Royal Children's Hospital in Australia.

Copyright 2023 by Cable News Network, Inc., a Time Warner Company. All rights reserved.