SHRINERS Hospital for Children in Hawaii is once again coming to the aid of local children who are in dire need of remedial surgery.
This month another three left for life-changing surgery in Honolulu.
Avishal Nand of Labasa was the first to leave this year for surgery to his hands.
According to Shriners Children's Hospital Pacific representative Rob Leacock, Avishal suffers from cerebral palsy.
"One of the effects that he suffers is that his hands do not work properly," said Mr Leacock.
"The doctors hope to perform surgery so that he is able to use his hands which is something so many of us take for granted every day.
"His family is hoping that he will be able to feed himself after the surgery."
Mr Leacock said Avishal, who was accompanied by his grandmother, would be making Honolulu their home over the next four months.
Another child receiving reconstructive surgery is six-year-old Loleshni Prakash from Dreketi, Vanua Levu.
Loleshni will undergo surgery to repair her dislocated left hip.
"She and her parents attended a Shriners Clinic at the Labasa Hospital last year and there the doctors told her parents she could be helped by having surgery in Hawaii," said Mr Leacock.
"They will be there for four months."
He added that Saimone Balewai, 4, and his mother, Milika Ani, of Lautoka also flew to Hawaii on Friday.
"Saimone will have surgery on his club foot that he has had since birth.
"They are also expected to be gone for about four months."
Shriners Hospitals for Children in Honolulu delivers the highest quality care to children.
Doctors from the hospital will be arriving in the country in March to conduct clinics in Lautoka, Labasa and Suva.
Children under the age of 18 suffering from birth defects of the hips, arms and legs, club feet, deformities of the spine, complications from bone infections, cerebral palsy and some burn scars, can be examined by the visiting professionals.