
Anias, left, and Jadon McDonald were born conjoined at the head, something only seen in 1 out of every 2.5 million live births. They were separated in a 27-hour surgery at the Children's Hospital at Montefiore Medical Center in New York in October.

Nicole and Christian McDonald talk with Dr. Sanjay Gupta in the family waiting area on October 13 as a team worked to separate Jadon and Anias. "When we sent them off this morning, to me, I felt at peace with it and just ready to handle what comes after," Nicole said.

Dr. James Goodrich Goodrich, left, leads a surgical team as they prepared to separate the twins. "Failure is not an option," Goodrich told the team as they got started.


The twins' surgery was Goodrich's longest craniopagus surgery. It's meticulous, tricky and complex: A single cut too deep can lead to catastrophic bleeding.

Goodrich's team worked more than 16 hours just to separate the boys, and each continued surgery individually afterward.

Newly separated twins Anias, left, and Jadon in surgery at the hospital. Goodrich informed the family of the successful separation at about 3 a.m. October 14. "Well, we did it," he told them. When it was official, the room burst into spontaneous applause.

Jadon recovers in the pediatric intensive care unit shortly after the surgery.

Anias returns to his room after his head dressing was changed.

Jadon stretches his arms in his room within the hospital's pediatric intensive care unit. Anias rests in a nearby bed in the same room.

Anias, left, stares at Jadon for the first time since the surgery that separated them.

Nicole McDonald, right, and her mother, Chris Grosso, with Anias in mid-November. Anias had to have his skull cap removed due to infection, but doctors say they are still pleased with his recovery.

Anias, left, and Jadon lie in a red wagon at the Children's Hospital at Montefiore Medical Center on December 13 as they prepare for the next stage of their journey, two months after their surgery.

The family was headed to the hospital's banquet hall on December 13, where surgical and pediatric intensive care staff members were gathered for a farewell party.

Dr. Oren Tepper, the twins' lead plastic surgeon, holds a thank you gift from the McDonald family presented to him at the farewell party.

Nicole McDonald holds Anias as his twin brother, Jadon, sleeps in the bed to the left. The twins' older brother, Aza, watches television at the hospital from one of the boys' beds shortly before they left for rehab.

Jadon, left, and Anias McDonald look up at hospital staff as they leave their room at Montefiore Children's Hospital in New York. Their older brother, Aza, proudly sits at the front of the wagon. It was mid-December and they were headed to rehab.

Nicole McDonald pushes a stroller with Anias as her husband Christian pushes Jadon down a hallway on June 14 at Blythedale Children's Hospital in Valhalla, New York, where the boys have been rehabilitating.

Anias plays with a toy while laying on a mat in his room at Blythedale Children's Hospital.

Jadon eats small snacks and drinks from a sippy cup on his own, major progress since he first moved to rehab.

Nicole McDonald plays with her son Anias as Christian McDonald holds Jadon on a playground outside Blythedale Children's Hospital.

Nicole McDonald holds Jadon while looking over discharge information on September 1, as they prepare to leave the rehab facility and head home as a family for the first time.

Nicole McDonald takes Anias into the family's new house for the first time with his older brother, Aza.

Christian McDonald holds his son Anias as Nicole McDonald checks on Jadon at home with the family dogs, Taz and Tyson.


