digit age of 10 is a milestone for any kid, but for these Guatemalan twins born conjoined at the head, it's cause for joyous celebration — they've repeatedly defied the odds against survival at all. The girls, Maria de Jesus and Maria Teresa Quiej-Alvarez, garnered international attention when they were separated in 2002 in a 23-hour surgery that riveted the world as it unfolded at Mattel Children's Hospital at the University of California Los Angeles Medical Center. On Saturday, the sisters, known as Josie and Teresita, celebrated their 10th birthday at a private home in Malibu with a party complete with bounce house and a steel-drum band. Guests at the Hawaiian-themed bash included many members of the 50-person surgical team, as well as two dozen of the girls' school chums. Hula dancers adorned two birthday cakes. “It is a wonder,” said Jenny Hull, an executive board member of Mending Kids International, the organization that arranged the $1.5 million surgery and has financed much of their care through donations. Also among the guests was Mel Gibson, a long-time supporter of Mending Kids who has known the sisters for most of their lives. The actor walked with the girls up a hill to the party, laughing with Josie and blowing bubbles with Teresita. “It's good to be here. It's good to see the twins,” Gibson said to reporters before heading inside. Dr. Henry Kawamoto, who headed the plastic-surgery team, said there was little in medical texts a decade ago about separating craniophagus or head-conjoined twins. He and neurosurgeon Dr. Jorge Lazareff outlined their own procedure. “It went off like we planned it,” said Kawamoto. “That was really such a great feeling.” The operation, however, lasted longer than the 15 hours Kawamoto anticipated. Equalizing the girls' vital signs under anesthesia was tricky, he recalled. At Saturday's party, Josie went straight for the pool, where she frolicked with her friends.