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On 24 November 1829 over thirty surgeons and<br />

physicians crowded into the Egyptian Hall in<br />

Piccadilly, London. There was Astley Cooper and<br />

Anthony Carlisle, previous Presidents of the Royal<br />

College of Surgeons (RCS), and Honoratus Leigh<br />

Thomas the current President. There was also a<br />

cohort from the Royal College of Physicians: Francis<br />

Hawkins, Charles Locock and Henry Halford, the<br />

President of the College. These learned gentlemen<br />

had come to pay homage to the exceptional bodies<br />

of Chang and Eng The Siamese Twins, eighteen<br />

years old and joined below the breastbone by a<br />

band of flesh 2in thick and 4in long.<br />

They were giving a private performance in an<br />

exhibition space dubbed the Home of Mystery,<br />

marked with hieroglyphics and fronted by the giant<br />

statues of the Egyptian Gods Isis and Osiris. The<br />

surgeons and physicians watched in amazement as<br />

the twins performed acrobatics with somersaults<br />

and backflips. They even played a form of<br />

badminton with each brother holding a miniature<br />

racket and hitting the shuttlecock to and fro. On<br />

account of their connecting ligament the twins<br />

stood a mere 4–5in apart, so this fast-paced hitting<br />

of the shuttlecock was a spectacle of agility,<br />

harmony and speed.<br />

"The surgeons and<br />

physicians watched in<br />

amazement as the<br />

twins performed<br />

acrobatics with<br />

somersaults and<br />

backflips."<br />

After the show, the surgeons and physicians were<br />

at liberty to poke, prod and inspect the twins. The<br />

surgeons made straight for the connecting<br />

ligament which contained the mystery of their<br />

body, and they fondled the flesh while musing on<br />

the possibility of surgical separation. Not being able<br />

to comprehend fully the nature of the twins’<br />

abnormality made the groping so enthralling: the<br />

enigma of their exceptional physiology engendered<br />

excitement and debate.<br />

The medical gentlemen subsequently signed a<br />

statement testifying to the integrity of Chang and<br />

Eng’s performance, praising the ‘remarkable and<br />

interesting youths’, the reliability of the<br />

performance, ‘in no respect deceptive’, and<br />

emphasising the respectability of the show,<br />

‘nothing whatever, offensive to delicacy’. (1) This<br />

statement was published on the first page of the<br />

twins’ exhibition pamphlet, which was sold when<br />

the public poured into their freak show. A personal<br />

statement by Joshua Brookes, a leading London<br />

anatomist, was included on the first page:<br />

"Having seen and examined the two Siamese<br />

Youths, Chang and Eng, I have great pleasure in<br />

affirming they constitute a most extraordinary<br />

Lusus Natuare; the first instance I have ever seen of<br />

a living double child; they being totally devoid of<br />

deception, afford a very interesting spectacle, and<br />

are highly deserving of public patronage. " (2)<br />

Chang and Eng the Siamese twins, aged eighteen,<br />

with badminton rackets. Coloured engraving by JLB,<br />

1829. Credit: Wellcome Collection.<br />

A reciprocal relationship between medicine and<br />

freakery had been established. On the one hand,<br />

the managers of Chang and Eng benefited from<br />

these medical endorsements. At the time, medicine<br />

was slowly modernizing and becoming more<br />

professional, gaining social respectability and<br />

cultural authority, so these attributes were<br />

transferred onto Chang and Eng’s freak show. The<br />

display of deformity was often associated with lowclass<br />

itinerant fairs, so this backing from medicine

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