The charity has until now limited its fundraising to the US market. It currently spends $15 million in the US, but has allocated a further $10 million to invest in direct marketing activity in Europe.
The organisation has begun contacting agencies about the task, which will involve donor acquisition and fundraising.
The charity does not pay directly for operations. Instead, it uses funds raised from donations to equip local medical professionals and hospitals to help children in their communities, reducing the cost of each operation to $250.
According to The Smile Train, 100 per cent of donations goes towards funding operations, as the charity's overheads are paid for with start-up grants from the charity's founding partners.