Hajra Noor is just 10 months old
SHE tries her best to smile at those admiring her pink and white party frock and coming over to stroke her head.
Hajra Noor is just 10 months old and she struggles to smile because a bilateral cleft lip deformity means she has two gaping holes under each nostril, with the remaining fold bulging under the little girl's nose.
Her parents Rasya and Noor Husain, who have another daughter and two sons, have made the 60km trip from their home in Bhimber Azad Kashmir to the Cleft Hospital iin Gujrat.
Offering free treatment to Pakistan's poorest families, plastic surgeons Muhammad Riaz and Christoph Theopold working with anaesthetist Dr Zahid Rafique and theatre sister Annette Middleton will spend the next week operating on around 80 children.
Some of the children, those with less serious conditions, will only require one operation. Those with the worst disfigurements will return to the hospital time after time for a succession of operations to give them the best repairs.
Christoph Theopold, left, and, right, Muhammed Riaz
Mr Husain said: "I couldn't believe it when I heard these doctors from an other country came to ours to help people like us. Why would they do that? They must be very good people."
Consultant plastic surgeon Nick Hart, who founded the Overseas Plastic Surgery Appeal more than 20 year ago and, although retired from surgery, is the best known of the team and works as ambassador for the charity.
Dignitaries from Government ministers to district officials all know Mr Hart and although he is not taking part in this mission, his name is mentioned wherever team members go because he is so respected for the work he started all those years ago.
Back in East Yorkshire, Mr Hart said Opsa was now achieving far more than he had ever envisaged when he decided to set up a charity helping Pakistan's poorest families.
"When we first went out to Pakistan 20 years ago, we were working in a tiny, hot hospital with an overwhelming number of patients and limited facilities," he said.
"We wondered how we could possibly continue and improve things. But one thing was obvious from the outset: the hospitality and enthusiasm of the people and their 'can-do' mentality, their love for each other, and their determination to make things better for each other.
"And the willingness of so many philanthropists who wanted their money to go directly into what we were doing rather than into some government agency."
Opsa founder and ambassador Nick Hart
He said Opsa had "vastly exceeded" his expectations of what could be achieved just by surgeons in Britain giving up their time to work for free in a country where so many have so little.
"It has given local people a focus point to both receive first-class medical care, to contribute to it, and to carry it forward and improve it," Mr Hart said.
"It has encouraged local doctors, nurses and specialists to work in our Cleft Hospital, to gain new skills and extend them into other hospitals.
"It has enabled British doctors, nurses and other specialists to gain experience of working in a more challenging environment.
"And it has put this kind of work on an international stage.
"I never envisaged that a theatre coffee-room discussion between myself and Plastic Surgeon Dr. Aman Raja in Hull 20 years would result in what we have today.
"It shows that if you have a dream, you and your friends can make it come true."