Doctors in India have successfully separated conjoined twin boys who were attached at the skull in a marathon surgical procedure that lasted more than 36 hours and involved 40 doctors.

The two-year-old twins, who suffered a rare condition occurring once in about 2.5 million births, underwent the operation at a government-run hospital in New Delhi on Wednesday.

“It was a team work of 40 doctors, 20 nurses and many other paramedical staff. Without their help this would not have been possible,” the All India Institute of Medical Science hospital said in a statement.

One of the surgeons involved said the most challenging aspect was repairing the holes left in the young boys’ heads after they were separated.

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