Operation Smile has provided over 220,000 surgeries for children and young adults born with cleft lips, cleft palates, and other facial deformities in over 60 countries since 1982, at no cost to the recipients. As of 2018, Operation Smile provided on-going care around the world at 34 smile centers. According to its tax report, Operation Smile completed 156 medical missions in 80 sites globally, including 13 sites in extremely poor regions. During missions, over 35,000 dental procedures were performed in the year 2018.