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Raipur the capital of poorest state of India separted twin without taking a single rupee but America wants. American doctor Walker understands why the American hospital said no. The surgeries and subsequent care take teams of up to 100 and the doctor estimates it would cost $2 million to $3 million to separate the twin.

Ye Kahani Hai Diye Ki Aur Toofan Ki, Ram laxaman ke desh Hindustan ki, Ram sethu toadnen aur joadnen ki, Jindgi denen aur jindgi Lenen ki, Vanaron ne banaya thaa Ram Sethu bachayen ge, Ravan jalayen ge bhi UP men dum hai ki nahin jaante nahin ham Ram laxaman men dam hai jaante hai ham

The mother, 25-year-old Premwati Kohl, is a labourer who earns less than 30 rupees a day (equivalent to about 34 pence) and she gave birth naturally, at home, without medical help.

"That in itself is astonishing," Dr Kundan Gedam, one of the operating team, said.

But the boys, who are named after Hindu gods, survived - and so did their mother.

"When I saw them for the first time after they were born, I nearly passed out," their mother said.

"I wanted to kill myself and the children because I didn't know how I would cope."

She found a doctor who would help them and who took the twins to Raipur, the state capital, where they were cared for in the Bhim Rao Ambedkar government hospital for nearly 10 months.

A team of Indian surgeons has successfully separated conjoined twins after researching the operation on the internet and borrowing equipment to do the job. The medical team borrowed expensive surgical equipment - a harmony scalpel - from an international baby care manufacturer (Johnson and Johnson) to perform the operation.

The boys are in good health following the operation but will be kept under observation for the next three days, said Ashok Sharma, who led the surgery team at Raipur's Ambedkar Government Hospital. The hospital said it was covering all costs. PTI said Tuesday's was the fourth surgery of its kind performed in India.

The operation on 10-month-old twins Ram and Laxman was done in one of India's poorest states, Chhattisgarh, and is being lauded as a medical achievement against the odds. By early evening, the twins were independent after the successful rare operation of 5 hours for the first time in their short lives, and two hours after being separated they were awake and blinking under the glare of the theatre lights - white plaster with their names written on, still stuck to their foreheads.

"They are okay now," Dr Amin Memon said. "Both Ram and Lakshman are fine and doing well," Deputy Superintendent of Raipur Medical College Hospital Dr M P Pujhari said. During the surgery, the liver and the Sternum (breastbone) were separated, Sharma said.

This is the small state where General Secretary of UPCL so called Human Rights org has been arrested on the charges of ‘Rashtra Droh’ for keeping link to help the naxalites. Few renouned journalist of India came here to organize agitation for making free the accused of Rashtra droh. This is the BJP led state where tribal are being gun down daily by the naxalites but not a single human activist of the world protest for this. Secular media has special daily coverage to encourage the naxal Maoists.

Not a single in fake secular media who told the falsehood of so called conversion poperations in Race Course of Mumbai organized by Ram and Laxam means Ramdas Athwale and laxman Mane. Rediff and other secular media published interview of many participants of the festival. One media thousands, another thoudand thousands, third fifty thousand, fourth one lakh and the chain of secular politicans and journalists doctotors’ team was to bark. These conversion experts certified with in few hours that all are Hindus who wanted conversion. Have you saw and heard bigger than this fraud. This is secular media a partnership team with UPA and Left. They have got instruction from their undergound god for making Hindus in minority. Foreign borns have greater role in this operation of separation of the innocent poor people. This fair was inaugrated by CM and Deputy CM of Maharashtra. Have you seen this type of secular government any where in the world?

There is a report of May 29, 2007 reached here from America through sltrib. With infant daughters fused at their lower spines, Kerry and Anna Clark have braught from California to Utah of America for the operation. Clark twins' surgery set for June 18, 2007. The same surgeons who separated the Herrin twins last summer will care for Allyson and Avery Clark.

But more often, Primary Children's must decline chances to perform perhaps the most complex surgery there is - even as its stature grows with widespread publicity after the successful separation of Kendra and Maliyah Herrin. Recently, the hospital sought help elsewhere for twins from India who are connected at the skull.

While surgeons find the work rewarding, it's simply too costly for hospital administrators to accept everyone. The surgeries and subsequent care take teams of up to 100 and costs can run in the millions - too steep for a hospital that dedicates its charity care to children in Utah and four surrounding states.

"There always is a contribution from the hospital and the physicians in the care of these most complex cases, even for somebody who is 100 percent insured," Clark said. "When we take on the care of a child like this, we take on all the care, irrespective of what the insurance company is committed to paying."

In 1979, a team separated the Hansen twins from Layton. Separation, at 19 months, took place in gradual stages, to allow their brains time to acclimatise. Lisa was left with significant brain damage and uses a wheelchair, while Elise is more able-bodied. Now adults, the twins lead happy lives with their family near Salt Lake City.

That's why Walker has consulted with surgeons in Los Angeles, Dallas, London, Vancouver and Cleveland on such surgeries. And it's why a surgeon in India wrote him in April, asking to send 3-year-old conjoined twins to Utah.

Walker understands why the hospital said no. He estimates it would cost $2 million to $3 million to treat the girls.

Cases of conjoined twins are extremely rare and happen in approximately one in 1,00,000 cases. Conjoined twins are twins whose bodies are joined together at birth. This happens in an estimated one in 200,000 births, with approximately half being stillborn, and about 70 to 75% being female. The overall survival rate for conjoined twins is between 5% and 25%.

Conjoined twins form in one of two ways. The first is fission, in which the fertilized egg splits partially, resulting in two-to-one type conjoined twins, i.e. Dicephalus twins. The second is fusion, a more common type of conjoined twinning, is when a fertilized egg completely separates, but stem cells (which search for similar cells) find like-stem cells on the other twin and fuses the twins together. This results in single and relative organ sharing, i.e. Thorapagus twins.

Although the difficulties they face are considerable, some conjoined twins, like Lori and Reba, are content, and have adjusted psychologically and physically to their shared lives.

Ladan and Laleh Bijani said that they had waited for 29 years for the operation to separate them, and were determined to go ahead with it, whatever the risk.

Twins separated in infancy, like Hassan and Hussein, who have no memory of being joined, may be glad to have had the chance of independent lives.

The only pair of unseparated adult twins alive today with a join at the top of the head: They have separate brains and thought processes, but share some tissue and blood supply, making separation impossible. Reba is much shorter than Lori, and sits on a wheeled stool, which Lori navigates. Institutionalised as children, they have fought against the label of 'mental handicap' and now live successfully in the outside world, without help. Their personalities and interests are very different, but the twins love each other and say they don't want to be separated. They object to the assumption that such close proximity makes their life unbearable. 'Assume it's not difficult,' says Lori, 'until we tell you it is'.

Iranian sisters Ladan and Laleh Bijani had been conjoined at the head since birth. For as long as they could remember, they wanted to live as separate individuals. Both women studied law at Tehran University; Ladan wanted to be a lawyer, while Laleh had plans to become a journalist. The surgery to separate them took place at a hospital in Singapore in July 2003.

It was the first time surgeons tried to separate adult siblings joined at the head. The major problem facing surgeons attempting this operation is to ensure that the blood supply to both brains is maintained at all times. Laleh and Ladan had been warned before the surgery that they had only a 50:50 chance of surviving the surgery, but both were determined to proceed despite the risks.

As the operation progressed, it became clear that separation would be more complex than anticipated. After 29 years of sharing the same skull cavity, the twins' brains had fused together, and to separate them would involve cutting through their brain tissue millimetre by millimetre. The procedure was further complicated because the blood circulation between the twins was unstable. They were finally separated after 53 hours, but the twins suffered particularly heavy loss of blood, causing their circulatory systems to fail. Doctors tried to save the women by giving them emergency transfusions, but an hour after separation Ladan died. Her sister Laleh died 90 minutes later.

The case prompted debate over the ethics of separation. Should the operation have gone ahead when the risks were so great, or should the wishes of the twins and quality of life issues take precedence?

The boys, extensively joined at the chest and pelvis, were successfully separated at eight months by Professor Lewis Spitz at Great Ormond Street Hospital in London. In infancy, Hassan was the weaker, and the boys' parents were told that he was unlikely to survive. Now teenagers, Hussein has the quieter personality, and Hassan is more outgoing. The boys had just two legs between them, and shared many organs. In surgery they were each given one leg, and skin from a useless third leg was used to cover their wounds. The boys are very close, but have no recollection of being joined. Despite undergoing numerous operations, and being left with some disabilities, they feel lucky and proud to have been separated.