RIYADH —The surgical separation of the Somali conjoined twins Rahma and Ramla was successful at King Abdullah Specialist Children’s Hospital under the King Abdulaziz Medical City in Riyadh on Thursday. The surgical team was led by Dr. Abdullah Al-Rabeeah, supervisor general of the King Salman Humanitarian Aid and Relief Center and head of the Medical and Surgical Team of the Saudi Conjoined Twins Program. The complex surgery lasted 12 hours and was performed in eight stages. Thirty-six consultants, specialists, and technicians from the departments of anesthesia, pediatric surgery, urology, orthopedics, and plastic surgery, in addition to nursing and technical staff, participated in the surgery. Dr. Al-Rabeeah said that this operation was the 68th conjoined twin separation surgery. He said that the Saudi Conjoined Twins Program has, over the past 35 years, cared for 156 conjoined twins from 28 countries around the world, emphasizing the Kingdom's pioneering role in humanitarian work in general and medical work in particular. For their part, the parents of the twins expressed their deepest gratitude to Custodian of the Two Holy Mosques King Salman and Crown Prince and Prime Minister Mohammed bin Salman for the specialized medical care and appropriate treatment the twins had received. They also expressed their appreciation for the Kingdom's humanitarian efforts and the generous hospitality extended to them during their stay in the Kingdom. The 13-month old twins arrived in the Kingdom on May 6, 2025 in line with the directives of King Salman and the Crown Prince. They were conjoined at the lower abdomen and pelvis, and each had two fully formed lower limbs. Precise medical examinations showed that they shared the colon and rectum, with overlapping in the urinary and reproductive systems and a shared pelvic bone, following a series of specialized examinations and intensive meetings by the medical team.