Lori and George, the oldest living Siamese twins in the world, have passed away

The world mourns the loss of the oldest known conjoined twins, Lori and George Schappell, who both passed away at the age of 62 in their Pennsylvania hometown.

Born on September 18, 1961, in Reading, Pennsylvania, Lori and George shared a rare connection, being conjoined at the skull while having separate bodies. They were linked by 30% of their brains and essential blood vessels.

Their incredible life journey came to a close on April 7 at the University of Pennsylvania Hospital in Philadelphia, as noted in their obituary. The specific cause of their passing has not been revealed.

George, who lived with spina bifida, used a mobility device for assistance, while Lori facilitated their movements by pushing and guiding his rolling stool. Their form of conjoined twins is exceptionally rare, affecting only about 2% to 6% of cases of congenital twins, according to NBC Today.

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In a landmark moment for their lives, George transitioned in 2007, making them the first same-sex conjoined twins to identify as different genders, as recognized by Guinness World Records. During their trip to London in 2011 to celebrate their 50th birthday, George shared insights about his journey with The Sun, stating: “I knew from a very young age that I was supposed to be a boy”.

Both Lori and George completed their education at the Hiram G. Andrews Center and later worked at Reading Hospital. Despite their physical connection, they each pursued their own passions and hobbies. George followed his love for music as a country singer, captivating audiences globally, while Lori thrived as an accomplished bowler.

Remarkably, the Schappells enjoyed an independent lifestyle since turning 24. Initially, they lived in a care facility, then transitioned to a two-bedroom apartment where they each had their own space. They highlighted the significance of privacy, emphasizing that even with their physical bond, they found ways to enjoy solitude when needed

“Would we ever separate? Absolutely not”, George stated in a 1997 documentary: “My theory is, why fix what isn’t broken?”

Lori echoed this sentiment in a 2002 interview with the Los Angeles Times, saying: “I don’t believe in separation”. Our heartfelt condolences go out to the family and friends of Lori and George during this challenging time.

Before she passed away, Grandma asked me to clean the photo on her headstone a year after her death — when I finally did, I was amazed by what I discovered

This story is deeply moving—a beautiful portrayal of love, family, and the powerful choice that defines our bonds. Grandma Patty’s gentle yet profound way of teaching life’s lessons, through simple, magical moments like their sidewalk adventures or cookie-baking sessions, builds such a vivid picture of her warmth and wisdom. Her final message, hidden behind the headstone photo, feels like the ultimate act of love—a treasure hunt to pass down the legacy of chosen family and intentional love.

The reveal of the adoption adds layers to her love story with Hailey and Elizabeth, showing that family isn’t merely formed by blood but by a thousand moments of choosing each other. Grandma Patty’s line about real love never ending but simply changing shape resonates perfectly with the story’s theme, giving Hailey and her mother both a final gift of clarity and belonging.

The cardinal as a symbol of her spirit and presence is such a beautiful touch, too, tying together memory, loss, and a sense of Grandma’s lasting presence. And through it all, the rituals and phrases they continue in her memory underscore the depth of her influence, even after her passing. The piece overall is such a tender, profound exploration of legacy, grief, and love that goes beyond life itself.

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