Doctors in India are attempting rare surgery to give a chance of a normal life to a two-year-old child who was born with four arms and four legs.
Lakshmi Tatma is joined at the pelvis to what is, in effect, a headless, undeveloped twin.
A team of surgeons in the southern city of Bangalore will be working in shifts to separate Lakshmi's spinal column and kidney from that of her twin.
It is hoped the procedure will allow her to survive beyond adolescence.
"We have just about started the surgery, opened the abdomen so it's very early days yet," the doctor leading the operation, Sharan Patil, told the BBC's World Today programme.