On September 25, Future Smile conducted its first overseas training program at the Children’s Hospital Colorado. 13 Chinese volunteers including Plastic Surgeons, Anesthesiologists, Nurses and Pediatricians participated in the workshop. Children’s Hospital Colorado is one of the top ten children's hospitals in the United States and is also a partner of Future Smile. Since 2017, the hospital has sent outstanding volunteers to participate in Future Smile missions.

During the workshop, volunteers discussed such topics as the difficult airway, pain management, perioperative management and advice for joining a medical mission with four guest speakers from Denver, San Francisco, and Washington.

Cleft lip and palate missions are charity projects, which demand high standards for both safety and quality. The goal of Future Smile is to enhance surgical safety and continual improvement in the quality of surgery and postoperative care. Over the years, the foundation has improved the surgical standards during our missions and has assisted local communities in building infrastructure where ongoing care can continue when we are not present.

On September 20, the opening ceremony for the Guangyuan International Smile Mission was held in the second people's hospital of Guangyuan. Dr. Nous Sarom, speaking on behalf of international volunteers, said: "love without borders, all medical volunteers will fully practice the spirit of volunteerism, fulfill their responsibilities and obligations, pay attention to every patient, and provide service with a smile.”

A medical team of over 30 volunteers from Nanjing, Xi 'an, Shenzhen, Singapore, the United States and Cambodia worked with the second people's hospital of Guangyuan to carry out free surgeries for patients from all cities of Sichuan province bringing hope to patients with cleft lip and palate.

In 2013, Future Smile started to collaborate with the Sichuan Family Planning Association and has been providing free surgeries to 1,186 patients with cleft lip and palate, bringing love and hope to the patients.