The story of Abby and Erin begins in 2016 in North Carolina, where they entered the world with an incredibly rare and life-threatening condition: their heads were fused. Before their birth, doctors warned their mother, Ann Delaney, of the immense risks the twins faced. They even recommended abortion, explaining that the chances of survival were extremely low and that potential complications could severely affect the babies and their long-term development. But Ann refused to give up on them, driven by the belief that her daughters deserved a chance at life regardless of the difficulties that lay ahead. Her decision set the stage for a journey defined by uncertainty, courage, and hope.

The girls’ arrival came sooner than expected. Abby and Erin were delivered via emergency C-section at just 30 weeks, making them premature, tiny, and medically fragile. Conjoined twins of their type face overwhelming odds—only about 2% survive birth at all. After delivery, they spent months in intensive care, undergoing extensive tests so doctors could understand the nature of their shared anatomy. The fusion of their skulls, blood vessels, and tissues presented enormous surgical challenges, and a multidisciplinary team spent months preparing for what would become one of the most complex operations possible. On June 6, 2017, when the twins were nearly one year old, surgeons began an 11-hour procedure to separate them, knowing every second would count.

During the operation, Erin was separated first because her connection was simpler, giving doctors a brief but welcome moment of relief. Abby’s separation, however, was far more difficult. Surgeons had to fight for each millimeter of tissue, carefully navigating shared blood vessels and overlapping structures in order to give both girls a chance at independent life. The medical team worked tirelessly, aware that a single mistake could cost one or both children their lives. Against staggering odds, both Abby and Erin survived the procedure, marking the beginning of a long and demanding path toward recovery. Their survival was heralded as a medical triumph and a testament to the skill, determination, and collaboration of everyone involved.

Five months after their surgery, the girls were finally able to leave the hospital and go home. Rehabilitation began immediately and would continue for years, filled with daily challenges, small victories, and unwavering dedication from their mother. Learning to move, communicate, and develop basic motor skills required patience and persistence. In many ways, life at home was its own form of therapy, as the family adjusted to new routines centered around the girls’ abilities and limitations. Progress was slow but steady, and each milestone—no matter how small—became a cause for celebration. Ann remained by their side every step of the way, determined to give her daughters the best possible quality of life.

Today, seven years after their separation, Abby and Erin are alive, social, and continuing to grow in their own unique ways. Erin learned to walk at the age of five, a moment that filled the family with joy and disbelief at how far she had come. Abby, whose complications were more severe, is able to stand while holding her mother’s hands, and the family remains hopeful that she will take her first independent step soon. Both girls face intellectual disabilities as well as ongoing physical challenges, but their spirits are bright, and their bond remains strong. Their story stands as a powerful example of resilience, medical innovation, and a mother’s unwavering belief in her children’s right to fight for life. Despite the obstacles ahead, the family continues to move forward with hope, grateful for how far Abby and Erin have already come.