Operation Smile conducted its first mission in Thailand in 1997. Operation Smile Foundations in each of our 25 medical mission countries not only support International Missions, but nearly three-fourths of our Foundations also organize year-round Local Missions. Based on the Operation Smile International Mission model, teams of in-country medical volunteers conduct local programs to take care of more of their children. As the foundations work towards self-sustainability, many foundations now have clinics, where children can be treated all year, receiving not only post-operative care, but also consultations on dental health, speech therapy, nutrition and psychology.