Original sentence: "  In response, Operation Smile in 2000 admitted organizational flaws and vowed improvement." Additionally, Operation Smile has been called "a form of neo-colonialism.Certain deaths of patients have brought criticism on the medical practices of Operation Smile.Operation Smile has been accused of valuing publicity and the number of surgeries over the welfare and safety of patients, and for a surgical approach resembling an "assembly line.Recently, some organizations have questioned the general ethics regarding cosmetic surgery in children