Conjoined Twins Belle and Abby, From Birth to Separation

When Amy and Jesse Carlsen learned they were expecting twins, they were unprepared for the news that their daughters would be conjoined. Born in December 2005, Belle (Isabelle) and Abby Carlsen were connected at the chest and abdomen, sharing several vital organs.

© Photo by Joey McLeister / Minneapolis Star T / ZUMA Press, Inc. /

The twins remained in the hospital after birth due to the complexity of their condition. Their shared organs, including a heart positioned more on Abby’s side and intertwined digestive systems, posed significant health risks.

Belle and Abby
© Photo by Joey / ZUMA Press, Inc.

After extensive research and planning, a team of 17 surgeons performed a separation surgery on May 12, 2006. Specialized teams focused on different aspects of the twins’ anatomy, addressing the pancreas, liver, and other shared structures. The procedure was successful, and two weeks later, Belle and Abby went home as separate individuals.

Belle and Abby
© lsabella.carlsen / Instagram

By the time they reached ten years old, Belle and Abby were thriving. They channeled their energy into activities like gymnastics and were known for their academic excellence and sociability. Their teacher, Tiffany Moos, noted their advanced learning abilities and the ease with which they made friends.

© lsabella.carlsen / Instagram

Despite their unique beginning, the twins have few memories of their time as conjoined infants. They wear necklaces inscribed with “One in a million” as a nod to their shared past. Occasionally, Belle and Abby experience moments of connection, such as instinctively holding hands or sharing unspoken thoughts, highlighting their enduring bond.

Today, Belle and Abby lead healthy, independent lives, embodying resilience and the profound connection between twins.

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