Genetically identical individuals joined by a part of their anatomy and often sharing one or more organs are known as conjoined twins. Total prevalence of this event has been estimated at 1.47 per 100,000 live births.1 Forty percent of all are stillborn, and a further 30% die on the first day of life. Only 18% of all conjoined twins survive longer than 24 h, and they represent one of the more difficult challenges of pediatric surgery.2 , 3