Carl and Clarence Aguirre
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 Carl and Clarence Aguirre facts

• They were conjoined at the top of the head (vertical craniopagus)
• In 2003 they were brought to the United States by their mother Arlene in the hope of having them surgically separated
• A revolutionary new process was used in separating the twin boys
• Because "marathon" surgical operations have historically led to a high rate of mortality and morbidity, Clarence and Carl's doctors chose to separate them in several smaller operations, allowing the twins to recuperate after each surgery
• In October 2003, tissue expanders (pouches filled with saline) were implanted under the boys' scalps
• This is common practice in separating conjoined twins, as it creates more skin that can be used to cover the twins' wounds after separation
• Over the next ten months, the brothers underwent several more surgeries to tease apart their joined skulls and brains
• On August 4, 2004, the final surgery was completed
• All of these surgeries were performed at Montefiore Medical Center in the Bronx, New York by a team led by Dr
• James T