Lori and George Schappell were the oldest conjoined twins in the world but somehow, the latter kept a secret from his sibling for over four decades.
The pair were born in 1961 with their skulls and left side of their foreheads fused together in Reading, Pennsylvania, US.
At the time, health professionals didn't think they would survive the year, but both of them went on to live full lives for 62 years, before passing away in 2024.
Science hadn't advanced enough at the time of their birth to separate the conjoined twins, but when the medical world caught up, they decided against being taken apart.
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Speaking to the Los Angeles Times in 2002, Lori said: "I don’t believe in separation. I think you’re messing with God’s work."
George added: "Would we be separated? Absolutely not. My theory is: why fix what is not broken?"
But with a relationship so close, George still managed to hold something from Lori for a long period of time.
The twins had partially fused skulls and shared vital blood vessels, in addition to 30 percent of their brains.
Lori and George also held the Guinness World Record for the oldest living conjoined twins from 2022 until their deaths.
George though, admitted that while he was assigned female at birth and was named Dori, he came out as a trans man in 2007.
He kept his true identity a secret from Lori, telling The Sun in 2011 that he was relieved to be living as his true self, saying: "I have known from a very young age that I should have been a boy."
"I loved playing with trains and hated girly outfits," he said, adding: "I kept my desire to change sex hidden - even from Lori - for many years.
"It was so tough, but I was getting older and I simply didn't want to live a lie. I knew I had to live my life the way I wanted."
Lori said that it was a 'shock' to hear how George really felt, but explained that she was 'so proud' of her brother for coming out.
"It was a huge decision but we have overcome so much in our lives and together we are such a strong team. Nothing can break that," she said of her conjoined twin.
Despite their condition, the pair went on to lead regular lives, as Lori became a champion ten-pin bowler, while George became an award-winning country singer.
"Most people don't believe us but we do have very normal lives. We travel, tidy our flat and Lori has even had a boyfriend. Nothing stops us doing what we want," George said.
Having moved out at 21, the twins slept in each other's rooms on alternate nights, as Lori explained that her room was 'girly' while George's was full of music posters.
The latter was also born with spina bifida, which is when the spinal cord doesn't form properly as a baby, with there being a gap in the spine and the potential of lower limb paralysis.
Lori would push her brother in a wheelchair due to this condition.
According to their obituary, the twins passed away in April 2024 at the Hospital of the University of Pennsylvania in Philadelphia. Their cause of death was not made public.
Joshua Nair