Smile Train

Utilizing data to make a difference

Smile Train is the world’s largest children’s charity that provides corrective surgery for children with cleft lips and palates globally. The organization receives support worldwide and revenue generated tops $100 million a year.

Smile Train uses a complex platform which manages the patient details of each of the over 1 million surgeries they’ve performed since 1999. The platform manages reimbursements to the surgeons worldwide and drastically reduces fraud using advanced image recognition and comparison technologies. They came to us looking to architect and build a totally new version of their patient management system. Specifically, they needed help keeping the system up to date with new features and requirements for data tracking while maintaining access for a global network of doctors, sometimes in remote places with limited connectivity and out-of-date computers.

Technology upgrades for a global charity

We provided a thorough analysis and evaluation of their systems including a review of facial recognition algorithms to help identify duplicate patients. We also performed a technology assessment including a high level security audit and risk analysis. We detailed the necessary requirements and ended up saving them the substantial costs of a rebuild by finding ways to address the current pain points and add needed enhancements with their existing platform. Enhancements included adding new reporting functionality, refreshing the look & feel, resolving performance problems, and addressing identified security issues.

Throughout the project, we advised Smile Train on software development processes, introducing up-to-date source code management, testing and deployment practices.


Windows Server, SQL Server, jQuery


Social Impact

Project Status

Fixing a cleft palate every 5 minutes