This past January in in Ahmedabad, India, the International Bladder Exstrophy Collaborative (IBEC) gathered for its 18th annual workshop. Amidst the intense focus of world-class surgeons from across the globe, we took a moment to honor a man who has spent his career serving the most vulnerable: Dr. Paul Merguerian.

A Shared Spirit of Humility

To those who know him, Paul is a “surgeon’s surgeon”—a man of immense skill and even greater humility. He was presented with the Richard Grady Humanitarian Award, a tribute that bridges the history of our work with its future. Paul was a close friend and the Chief of the late Dr. Richard Grady at Seattle Children’s. When we lost Rich to cancer, the future of the India workshop rested with those who knew his heart best. Paul didn’t hesitate; he stepped in to carry on the legacy.

A Career of Service

For 11 years, Paul has been a fixture in the IBEC workshops. He often tells us that while he came with A-BE-C, he went for Rich. This resolve is the hallmark of his entire career. Long before his time in India, Paul was already dedicated to his native Armenia, returning to his roots for decades to volunteer his expertise for families who otherwise would have no hope for these complex procedures.

The Heart of the Mission

To the families of the exstrophy community—including my own—Paul is the doctor who cared for our children. He understands the quiet strength it takes to navigate this journey. In Ahmedabad, he is a Bhai—a brother to the international team and a steady hand for the parents.

He didn’t need to be the loudest voice in the room to make the biggest impact; he just needed to be there. And for over a decade, he hasn’t failed to show up.
Congratulations, Paul. You have honored your friend, your heritage in Armenia, and everyone who calls you Bhai.

Pamela Artigas
Executive Director, A-BE-C