Imagine a birth deformity so hideous that the patient’s face resembled an alien monster straight out of a horror movie. That’s what surgeon Dr. John Fegurgur was staring at during a medical mission to the Philippines several years ago. “He had a bilateral cleft lip and palate, so there were two slits on either side. He literally looked like, you know, that [alien] character in Predator.” Typically, the patients Dr. Fegurgur sees on his annual medical missions are young children with facial birth defects. They are provided with free surgery to spare them from the harsh treatment society can often level on them. But this particular patient was a 35-year-old man, who must have endured a painful childhood and adulthood of ridicule and rejection.