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Critical steps of the surgical separation were identified and contingency plans were made for possible partial liver donation and cross-circulation between twins. The separation procedure and reconstruction of the abdominal wall were successfully performed. Both pairs of twins, now 6- and 8-year-old, are healthy and have normal growth and are under follow-up. Copyright © Iranian Journal of Medical Sciences.Resistant ovary syndrome (ROS) is a presentation of hypergonadotrophic hypogonadism condition with very low incidenc