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Omphalopagus twins John Nelson and James Edward Freeman (Johnny and Jimmy) were born to Mr. William Freeman of Youngstown, Ohio, on April 27, 1956.

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Seven years later, Ganga Shrestha died at the Model Hospital in Kathmandu in July 2009, at the age of 8, three days after being admitted for treatment of a severe chest infection.

A case of particular interest was that of infants Rose and Grace ("Mary" and "Jodie") Attard, conjoined twins from Malta who were separated in Great Britain by court order Re A (Children) (Conjoined Twins: Surgical Separation) over the religious objections of their parents, Michaelangelo and Rina Attard.

In modern times, they could have been easily separated.