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8 Major Milestones in Facial Transplant Surgeries

Last year brought a significant milestone in cutting-edge medicine when former firefighter Patrick Hardison received the most extensive face transplant surgery ever performed. Hardison’s operation rounded out nearly a decade since the first face transplant was done in 2005, a period during which a scientific feat that once seemed to belong to the realm of science fiction became possible and moved closer to the mainstream. Not only were technical limitations transcended, but initial moral objections were also overcome. Here is a look at the evolution of this groundbreaking procedure—and the people whose lives were changed by it.

1. THE GIRL WHO GOT HER OWN FACE BACK // 1994

In 1994, 9-year-old Sandeep Kaur was working in a field in India when one of her pigtails was caught in a threshing machine. The machine’s gears pulled in the girl’s hair and peeled her face off in two pieces. Her family brought her to the nearest hospital, which was three hours away. Determining that skin grafts would not work, the doctors made history by performing what was essentially the first face transplant surgery. Technically, though, since it was the victim’s own face that was being replaced, this early operation counts as a face "re-plant" rather than a transplant.

2. THE WOMAN WHO GOT HER MOUTH AND NOSE REPLACED // 2005

Isabelle Dinoire’s partial face transplant made headlines not only for the pioneering science it involved, but for the circumstances surrounding it: Dinoire, apparently in the midst of some emotional distress, had taken some sleeping pills and awoke to discover that her dog had chewed off her lips and nose while she was unconscious.

In November 2005, doctors Bernard Devauchelle and Jean-Michel Dubernard—who led the French team that had done the first-ever modern hand transplant in 1998—performed the world’s first partial face transplant, grafting a triangle of tissue from a brain-dead woman’s mouth and nose onto Dinoire. Dinoire was able to eat and speak within a day and reported satisfaction with the results 18 months later. However, she suffered a series of tissue rejection episodes during that time, pointing to the need for transplant recipients to take immunosuppressant drugs for their entire lives.

3. THE DOMESTIC VIOLENCE VICTIM WHO HAD 80 PERCENT OF HER FACE RECONSTRUCTED // 2008

In 2008, Connie Culp became the first person to receive a partial face transplant in the United States. Culp’s husband had shot her in the face during a domestic dispute, destroying her mouth, nose, cheeks, an eye, and a section of bone and teeth in the center of her face. Her operation was performed at the Cleveland Clinic, the first American clinic to approve the procedure. The extensive, 22-hour operation, involving 80 percent of Culp’s face, required removal of previous makeshift construction of her jaw structure and transplantation of bone, muscle, nerves, blood vessels, and skin to reconstruct the midsection of her face.

4. THE FARMER WHO UNDERWENT 10 ATTEMPTS TO REBUILD HIS FACE // 2010

In 2010, a Spanish farmer who had been horribly disfigured in a gun accident, identified only as Oscar, became the recipient of the world’s first full-face transplant at a Barcelona hospital. Nine early attempts to rebuild Oscar’s face had failed, making him a candidate for the experimental procedure. The 24-hour operation required a team of 30 surgeons, anesthetists, and nurses to replace Oscar’s facial muscles, nose, lips, upper jaw, teeth, cheekbones, palate, tear ducts, and eyelids. Oscar’s surgery was followed just a few months later by the world’s second full face transplant in France.

5. THE BURN VICTIM WHO WAS ABLE TO SPEAK AND SMELL AGAIN  // 2011

Dallas Wiens says he remembers nothing of the November 2008 accident when, while on a cherry picker, his head hit a high-voltage wire, sending electricity coursing through his body and severely burning him from head to toe. The incident blinded him and obliterated his facial features. Improbably, Wiens survived the accident and began to make a recovery, but it was a 2011 full face transplant operation that would return him to life. The operation, carried out at Brigham and Women’s Hospital in Boston, replaced the entirety of his face with that of a donor and returned his ability to speak and smell (though surgeons were not able to bring back his eyesight).

Wiens’s surgery was followed by full face transplants in the United States on Mitch Hunter later in 2011 and a very extensive operation on Richard Lee Norris in 2012.

6. THE CHIMP ATTACK SURVIVOR WHO RECEIVED A NEW FACE—AND HANDS // 2011

While not as much of a milestone in terms of face transplant science, Charla Nash’s story is notable for the extremely bizarre circumstances surrounding it. In 2009, Nash drove to the Connecticut home of her friend and employer Sandra Herold to help her corral her pet chimpanzee Travis, who had gotten out of control that day. Upon her arrival, Travis, a full-grown, 200-pound male, viciously attacked Nash, ripping off her face and hands.

After several earlier surgeries, Nash eventually received face and hand transplants in May 2011 at Brigham and Women’s Hospital. Both transplants were initially successful, but the hand transplants eventually had to be removed after Nash developed an infection. Nash continues to recover and it is hoped that her progress will inform future operations on veterans returning from war.

7. THE MAN WHO GOT A NEW FACE IN JUST THREE WEEKS // 2013

The first of two face transplants performed in Poland is remarkable mainly because of the extremely short time period within which it was carried out. A male patient, identified only as Grzegorz, received a full face transplant just three weeks after he was injured in a machine accident at work in 2013, losing his nose, upper jaw, and cheeks. The delicate nature of face transplant surgeries usually necessitates months or even years of preparation, making this particular operation the fastest ever performed. Doctors deemed the speed necessary because the accident had left an area of the brain exposed to infection.

8. THE FIREFIGHTER WHO RECEIVED THE BIKE MESSENGER'S FACE // 2015

In 2001, volunteer firefighter Patrick Hardison rushed into a burning home in Senatobia, Mississippi, to rescue a woman he thought was inside. The roof collapsed, knocking his helmet from his head, melting his mask, and searing his skin. The accident left Hardison without ears, nose, lips, or eyelid tissue and with virtually no normal skin left on his entire face and neck. Over 70 surgeries and grafts had left him a patchwork of scars and in constant pain, with limited vision due to lack of functioning eyelids.

In August 2015, surgeon Eduardo Rodriguez performed the most extensive ever face transplant on Hardison at NYU Langone Medical Center, using donated tissue from David Rodebaugh, a Brooklyn bike enthusiast who died following a bike accident. The transplant extends from the back of Hardison’s skull, over the top of his head, and down to his collarbones, and includes eyelids and both ears.

CHALLENGES AHEAD FOR THE PROCEDURE

The relative success of these operations has dispelled many, but not all, of critics’ fears. When face transplants were first proposed, some doubted the transplants would have feeling and functionality, but patients have regained their senses of smell, taste, and touch. Nonetheless, the delicate procedure, requiring years of training, microsurgery techniques, and large teams of specialists, is still in its early stages, and there is much room for improvement. Each face transplant surgery performed so far has followed a slightly different protocol, and the technology is in need of standardization. Surgeons are exploring new ways to match donor and recipient anatomy and improve alignment using CT scans and 3-D printed replicas of the anatomy involved in order to improve planning and speed up the process. The surgeries, too, carry a steep price tag—about $300,000 on average—and American health insurance plans do not cover it, a situation many hope will change.

Then there is the ongoing moral debate over the process. Initial objections revolved around sheer revulsion at the concept and identity-based misgivings. But while some recipients have expressed feelings of responsibility toward the donor’s legacy, few have reported identity crises about wearing a donated face. The current moral debate largely concerns the immunosuppressant drugs that patients must take in order to avoid rejection of the foreign tissue. Such drugs can negatively affect health, increasing risk of cancer, diabetes, and other ailments. Critics argue that the procedure, while life changing, is not life saving, and that it is essentially putting otherwise healthy people at risk of death. 

Finally, while the public may be warming up to face transplants, scientific advances will undoubtedly open new cans of morally questionable worms. Italian surgeon Sergio Canavero has declared that he will perform the first full head transplant in 2017. Most neuroscientists are highly skeptical that's possible, but the future undoubtedly holds stranger things yet. 

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13 Great Jack Nicholson Quotes
Kevin Winter/Getty Images for AFI
Kevin Winter/Getty Images for AFI

Jack Nicholson turns 81 today. Let's celebrate with some of the actor's wit and wisdom.

1. ON ADVICE

"I hate advice unless I'm giving it. I hate giving advice, because people won't take it."

From Esquire's "What I Learned"

2. ON REGRETS

"Not that I can think of. I’m sure there are some, but my mind doesn’t go there. When you look at life retrospectively you rarely regret anything that you did, but you might regret things that you didn’t do."

From an interview with The Talks

3. ON DEATH

"I'm Irish. I think about death all the time. Back in the days when I thought of myself as a serious academic writer, I used to think that the only real theme was a fear of death, and that all the other themes were just that same fear, translated into fear of closeness, fear of loneliness, fear of dissolving values. Then I heard old John Huston talking about death. Somebody was quizzing him about the subject, you know, and here he is with the open-heart surgery a few years ago, and the emphysema, but he's bounced back fit as a fiddle, and he's talking about theories of death, and the other fella says, 'Well, great, John, that's great ... but how am I supposed to feel about it when you pass on?' And John says, 'Just treat it as your own.' As for me, I like that line I wrote that, we used in The Border, where I said, 'I just want to do something good before I die.' Isn't that what we all want?"

From an interview with Roger Ebert

4. ON NERVES

''There's a period of time just before you start a movie when you start thinking, I don't know what in the world I'm going to do. It's free-floating anxiety. In my case, though, this is over by lunch the first day of shooting.''

From an interview with The New York Times

5. ON ACTING

"Almost anyone can give a good representative performance when you're unknown. It's just easier. The real pro game of acting is after you're known—to 'un-Jack' that character, in my case, and get the audience to reinvest in a new and specific, fictional person."

From an interview with The Age

6. ON MARRIAGE

"I never had a policy about marriage. I got married very young in life and I always think in all relationships, I've always thought that it's counterproductive to have a theory on that. It's hard enough to get to know yourself and as most of you have probably found, once you get to know two people in tandem it's even more difficult. If it's going to be successful, it's going to have to be very specific and real and immediate so the more ideas you have about it before you start, it seems to me the less likely you are to be successful."

From an interview with About.com

7. ON LYING

“You only lie to two people in your life: your girlfriend and the police. Everybody else you tell the truth to.”

From a 1994 interview with Vanity Fair

8. ON HIS SUNGLASSES

"They're prescription. That's why I wear them. A long time ago, the Middle American in me may have thought it was a bit affected maybe. But the light is very strong in southern California. And once you've experienced negative territory in public life, you begin to accept the notion of shields. I am a person who is trained to look other people in the eye. But I can't look into the eyes of everyone who wants to look into mine; I can't emotionally cope with that kind of volume. Sunglasses are part of my armor."

From Esquire's "What I Learned"

9. ON MISCONCEPTIONS

"I think people think I'm more physical than I am, I suppose. I'm not really confrontational. Of course, I have a temper, but that's sort of blown out of proportion."

From an interview with ESPN

10. ON DIRECTING

"I'm a different person when suddenly it's my responsibility. I'm not very inhibited in that way. I would show up [on the set of The Two Jakes] one day, and we'd scouted an orange grove and it had been cut down. You're out in the middle of nowhere and they forget to cast an actor. These are the sort of things I kind of like about directing. Of course, at the time you blow your stack a little bit. ... I'm a Roger Corman baby. Just keep rolling, baby. You've got to get something on there. Maybe it's right. Maybe it's wrong. Maybe you can fix it later. Maybe you can't. You can't imagine the things that come up when you're making a movie where you've got to adjust on the spot."

From an interview with MTV

11. ON ROGER CORMAN

"There's nobody in there, that he didn't, in the most important way support. He was my life blood to whatever I thought I was going to be as a person. And I hope he knows that this is not all hot air. I'm going to cry now."

From the documentary Corman's World

12. ON PLAYING THE JOKER

"This would be the character, whose core—while totally determinate of the part—was the least limiting of any I would ever encounter. This is a more literary way of approaching than I might have had as a kid reading the comics, but you have to get specific. ... He's not wired up the same way. This guy has survived nuclear waste immersion here. Even in my own life, people have said, 'There's nothing sacred to you in the area of humor, Jack. Sometimes, Jack, relax with the humor.' This does not apply to the Joker, in fact, just the opposite. Things even the wildest comics might be afraid to find funny: burning somebody's face into oblivion, destroying a masterpiece in a museum—a subject as an art person even made me a little scared. Not this character. And I love that."

From The Making of Batman

13. ON BASKETBALL

"I've always thought basketball was the best sport, although it wasn't the sport I was best at. It was just the most fun to watch. ... Even as a kid it appealed to me. The basketball players were out at night. They had great overcoats. There was this certain nighttime juvenile-delinquent thing about it that got your blood going."

From Esquire's "What I Learned"

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25 Regal Facts About Queen Elizabeth II
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In February 2017, Queen Elizabeth II celebrated her Sapphire Jubilee, marking her 65-year reign as Queen of England. Her Majesty surpassed her great-great-grandmother, Queen Victoria, who reigned for 63 years, as Britain's longest-ruling monarch, and now also holds the title of the world's longest-reigning monarch. Here are 25 more royal facts about Queen Elizabeth, to celebrate her 92nd birthday (her real one—she has two, after all).

1. SHE WASN'T BORN AN HEIR APPARENT TO THE THRONE.

The Queen Elizabeth (3rd-L, future Queen Mother), her daughter Princess Elizabeth (4th-L, future Queen Elizabeth II), Queen Mary (C) , Princess Margaret (5th-L) and the King George VI (R), pose at the balcony of the Buckingham Palace in December 1945.
The Queen Elizabeth (3rd-L, future Queen Mother), her daughter Princess Elizabeth (4th-L, future Queen Elizabeth II), Queen Mary (C) , Princess Margaret (5th-L) and the King George VI (R), pose at the balcony of the Buckingham Palace in December 1945.
AFP, Getty Images

For the first 10 years of her life, Princess Elizabeth was a relatively minor royal—her status was akin to Princesses Beatrice and Eugenie of York today—but that all changed with the death of her grandfather, King George V, in 1936.

The next in the line of royal succession was Elizabeth's uncle, Edward VIII, who abdicated the throne less than a year after taking it so that he could marry an American socialite named Wallis Simpson. Edward didn't have any children at the time, so his brother Albert (Elizabeth’s father) ascended to the throne, taking the name George VI and making the then-10-year-old Elizabeth the first in line to become Queen.

2. HER YOUNGER SISTER GAVE HER A FAMILY NICKNAME.

Princesses Margaret and Elizabeth in 1933.
Princesses Margaret and Elizabeth in 1933.
AFP/Getty Images

Elizabeth and Margaret were the only children of Queen Elizabeth the Queen Mother and King George VI, who said of his daughters: "Lilibet is my pride, Margaret my joy." "Lilibet," of course, is Elizabeth, who earned her nickname because Margaret—whom the family affectionately called Margot—constantly mispronounced her big sister’s name.

3. SHE DIDN'T GO TO SCHOOL.

Princesses Elizabeth (right) and Margaret at Waterloo Station, London, 1939.
Princesses Elizabeth (right) and Margaret at Waterloo Station, London, 1939.
Fox Photos, Hulton Archive/Getty Images

Heirs apparent don’t just show up to primary school like normal kids. Instead, Elizabeth was tutored at home during sessions by different teachers like Henry Marten, vice-provost of Eton College (which is still for boys only), and was also given private religion lessons by the Archbishop of Canterbury.

4. BUT SHE AND MARGARET TECHNICALLY DID HAVE A TEACHER.

Stamps from 1937 featuring Princesses Elizabeth and Margaret Rose, The Coronation Chair, Westminster Abbey, The Coronation Coach, The Houses of Parliament, Windsor Castle, King George VI and Queen Elizabeth to commemorate the King's Coronation.
Stamps from 1937 featuring Princesses Elizabeth and Margaret Rose, The Coronation Chair, Westminster Abbey, The Coronation Coach, The Houses of Parliament, Windsor Castle, King George VI and Queen Elizabeth to commemorate the King's Coronation.
London Express, Getty Images

Just because she didn't attend school doesn't mean that Elizabeth didn't receive an education. She received the bulk of it through her nanny, Marion Crawford, who the royal family referred to as "Crawfie." Crawford would eventually be ostracized by the royal family for writing a tell-all book in 1953 called The Little Princesses without their permission; the book recounted Crawford's experiences with Elizabeth during her younger days.

5. SHE WANTED TO GO TO WAR, BUT WAS TOO YOUNG.

Queen consort Elizabeth holds Princess Margaret's hand as Princess Elizabeth follows, in 1936.
Queen consort Elizabeth holds Princess Margaret's hand as Princess Elizabeth follows, in 1936.
Central Press, Hulton Archive/Getty Images

When World War II broke out in 1939, Elizabeth—then just a teenager—begged her father to join the effort somehow. She started out by making radio broadcasts geared toward raising the morale of British children. During one of the broadcasts, the 14-year-old princess reassured listeners, "I can truthfully say to you all that we children at home are full of cheerfulness and courage. We are trying to do all we can to help our gallant sailors, soldiers, and airmen and we are trying too to bear our own share of the danger and sadness of war."

6. SHE EVENTUALLY SERVED IN WORLD WAR II.

Princess Elizabeth changing the tire of a vehicle as she trains at as ATS Officer during World War II in April 1945.
Princess Elizabeth changing the tire of a vehicle as she trains at as ATS Officer during World War II in April 1945.
Central Press, Hulton Archive/Getty Images

Despite the risks, Elizabeth eventually joined the women's Auxiliary Territorial Service and trained as a truck driver and mechanic in 1945, when she was 18 years old.

Queen Elizabeth remains the only female royal family member to have entered the armed forces, and is currently the only living head of state who officially served in World War II.

7. SHE CELEBRATED THE END OF THE WAR BY PARTYING LIKE HER SUBJECTS.

Princesses Elizabeth and Margaret in 1947.
Princesses Elizabeth and Margaret in 1947.
William Vanderson, Fox Photos/Getty Images

When then-Prime Minister Winston Churchill announced that the war in Europe was over on May 8, 1945, people poured out into the streets of London to celebrate—including Princesses Elizabeth and Margaret. The sheltered duo were allowed to sneak out of Buckingham Palace to join the revelers at their father's behest.

"It was a unique burst of personal freedom," recalled Margaret Rhodes, their cousin who went with them, "a Cinderella moment in reverse."

8. SHE MARRIED HER COUSIN.

Then-Princess Elizabeth and Prince Philip, following their wedding ceremony in November 1947.
Then-Princess Elizabeth and Prince Philip, following their wedding ceremony in November 1947.
AFP, Getty Images

Prince Philip, Duke of Edinburgh and Queen Elizabeth are third cousins; both share the same great-great-grandparents: Queen Victoria and Prince Albert.

9. ELIZABETH AND HER HUSBAND HAVE KNOWN EACH OTHER SINCE CHILDHOOD.

A family portrait in the Throne Room at Buckingham Palace on the wedding day of Princess Elizabeth (future Queen Elizabeth II) and Philip, Duke of Edinburgh on November 20, 1947.
A family portrait in the Throne Room at Buckingham Palace on the wedding day of Princess Elizabeth (future Queen Elizabeth II) and Philip, Duke of Edinburgh on November 20, 1947.
STR/AFP/Getty Images

Philip, son of Prince Andrew of Greece and Denmark and Princess Alice of Battenberg, first met Elizabeth when she was only eight years old and he was 14. Both attended the wedding of Princess Marina of Greece (Prince Philip's cousin) and Prince George, the Duke of Kent (Elizabeth’s uncle).

Five years later the pair met again when George VI brought Elizabeth to tour the Royal Naval College in Dartmouth, where Philip was a cadet. In a personal note, Elizabeth recalled falling for the young soldier-in-the-making: "I was 13 years of age and he was 18 and a cadet just due to leave. He joined the Navy at the outbreak of war, and I only saw him very occasionally when he was on leave—I suppose about twice in three years," she wrote. "Then when his uncle and aunt, Lord and Lady Mountbatten, were away he spent various weekends away with us at Windsor."

10. SHE DIDN'T TELL HER PARENTS SHE WAS GETTING HITCHED.

Princess Elizabeth, Philip Mountbatten, Queen Elizabeth (the future Queen Mother), King George VI, and Princess Margaret pose in Buckingham Palace on July 9, 1947, the day the engagement of Princess Elizabeth & Philip Mountbatten was officially announced.
Princess Elizabeth (future Queen Elizabeth II), Philip Mountbatten (also the Duke of Edinburgh), Queen Elizabeth (future Queen Mother), King George VI, and Princess Margaret pose in Buckingham Palace on July 9, 1947, the day the engagement of Princess Elizabeth and Philip Mountbatten was officially announced.
AFP/Getty Images

In 1946, Philip proposed to Elizabeth when the former planned a month-long visit to Balmoral, her royal estate in Scotland. She accepted the proposal without even contacting her parents. But when George VI finally caught wind of the pending nuptials he would only officially approve if they waited to announce the engagement until after her 21st birthday.

The official public announcement of the engagement finally came nearly a year later on July 9, 1947.

11. SHE HAS A VERY ROYAL NAME.

Princess Elizabeth (left) and her mother, Queen consort Elizabeth, in 1951.
Princess Elizabeth (left) and her mother, Queen consort Elizabeth, in 1951.
Reg Speller, Fox Photos/Getty Images

She's the second British monarch named Elizabeth, but Elizabeth II wasn't named after Henry VIII's famous progeny. Queen Elizabeth II's birth name is Elizabeth Alexandra Mary, after the names of her mother, Elizabeth, her paternal great-grandmother, Queen Alexandra, and her paternal grandmother, Queen Mary.

12. SHE GOT TO CHOOSE HER OWN SURNAME.

Queen Elizabeth and Prince Philip with two of their children, Prince Charles and Princess Anne, circa 1951.
Queen Elizabeth and Prince Philip with two of their children, Prince Charles and Princess Anne, circa 1951.
OFF, AFP/Getty Images

Technically, the Queen's last name is "Windsor," which was first chosen by George V in 1917 after the royal family wanted to distance themselves from "Saxe-Coburg-Gotha"—the dynasty to which they belonged—for sounding too Germanic during World War I.

But as a way to distinguish themselves from the rest of the royal family, in 1960 Elizabeth and Philip adopted the official surname Windsor-Mountbatten. (Fans will surely remember that the surname drama was briefly discussed in Netflix’s series The Crown.)

13. SHE HAS TWO BIRTHDAYS.

Princess Elizabeth just before her 21st birthday in April 1947.
Princess Elizabeth just before her 21st birthday in April 1947.
AFP/Getty Images

Like most British monarchs, Elizabeth gets to celebrate her birthday twice, and the reason why boils down to seasonably appropriate pomp and circumstance.

She was born on April 21, 1926, but April was deemed too cold and liable to fall during inclement weather. So instead, her official state-recognized birthday occurs on a Saturday in late May or June, so that the celebration can be held during warmer months. The specific date varies year to year in the UK, and usually coincides with Trooping the Colour, Britain’s annual military pageant.

14. HER CORONATION WAS TELEVISED AGAINST HER WISHES.

Queen Elizabeth's coronation, June 1953
Queen Elizabeth's coronation, June 1953.
AFP, Getty Images

Elizabeth officially ascended to the throne at just 25 years of age when her father, George VI, died on February 6, 1952. Elizabeth was in Kenya at the time of his death and returned home as her country's Queen. As fans of The Crown will remember, the hubbub surrounding her coronation was filled with ample amounts of drama.

The notoriously camera-shy Elizabeth—who didn't even allow photos to be taken of her wedding—didn't want the event televised, and others believed that broadcasting the coronation to commoners would break down upper-class traditions of only allowing members of British high society to witness the event. A Coronation Commission, chaired by Philip, was set up to weigh the options, and they initially decided to only allow cameras in a single area of Westminster Abbey "west of the organ screen," before allowing the entire thing to be televised with one minor caveat: no close-ups on Elizabeth's face.

15. SHE PAID FOR HER WEDDING DRESS USING WAR RATION COUPONS.

A 1947 sketch of Princess Elizabeth's wedding dress by Norman Hartnell.
A 1947 sketch of Princess Elizabeth's wedding dress by Norman Hartnell.
Central Press, Getty Images

Still reeling from an atmosphere of post-war austerity, Elizabeth used ration coupons and a 200-coupon supplement from the government to pay for her wedding dress. But don't be fooled, the dress was extremely elegant; it was made of ivory duchesse silk, encrusted with 10,000 imported seed pearls, took six months to make, and sported a 13-foot train. (It cost just under $40,000 to recreate the dress for The Crown.)

16. SHE DOESN'T NEED A PASSPORT TO TRAVEL.

Queen Elizabeth II in Nuku'alofa, Tonga in December 1953.
Queen Elizabeth II in Nuku'alofa, Tonga in December 1953.
STRINGER, AFP/Getty Images

Elizabeth II is the world's most well-traveled head of state, visiting 116 countries between 265 official state visits, but she doesn't even own a passport. Since all British passports are officially issued in the Queen’s name, she technically doesn't need one.

17. SHE DOESN'T NEED A DRIVER'S LICENSE EITHER.

Queen Elizabeth II drives a car in 1958.
Queen Elizabeth II drives a car in 1958.
Bob Haswell, Express/Getty Images

It's not just because she has a fleet of chauffeurs. Britain also officially issues driver's licenses in Elizabeth’s name, so don’t expect her to show off her ID when she gets pulled over taking other heads of state for a spin in her Range Rover.

Sir Sherard Cowper-Coles, former British ambassador to Saudi Arabia, recounted to The Sunday Times the time when Elizabeth drove former Saudi crown prince Abdullah around the grounds of Balmoral: "To his surprise, the Queen climbed into the driving seat, turned the ignition and drove off," he said. "Women are not—yet—allowed to drive in Saudi Arabia, and Abdullah was not used to being driven by a woman, let alone a queen."

18. SHE DOESN'T HAVE TO PAY TAXES (BUT CHOOSES TO ANYWAY).

Queen Elizabeth rides in a carriage in 2000.
ODD ANDERSEN, AFP/Getty Images

Queen Elizabeth has voluntarily paid income and capital gains taxes since 1992, but has always been subject to Value Added Tax.

19. SHE SURVIVED AN ASSASSINATION ATTEMPT.

Britain's Queen Elizabeth II rides a horse side saddle and salutes during a Trooping of the Colour ceremony in London in 1952.
Britain's Queen Elizabeth II rides a horse side saddle and salutes during a Trooping of the Colour ceremony in London in 1952.
STRINGER, AFP/Getty Images

During the 1981 Trooping the Colour, the Queen led a royal procession on horseback down the Mall toward Buckingham Palace when shots rang out. A 17-year-old named Marcus Sarjeant, who was obsessed with the assassinations of figures like John Lennon and John F. Kennedy, fired a series of blanks toward Elizabeth. Sarjeant—who wrote in his diary, "I am going to stun and mystify the whole world with nothing more than a gun"—was thankfully unable to purchase live ammunition in the UK. He received a prison sentence of five years under the 1848 Treason Act, but was released in October 1984.

20. SHE ALSO SURVIVED AN INTRUDER COMING INTO HER BEDROOM.

Queen Elizabeth II in Australia in 1954.
Queen Elizabeth II in Australia in 1954.
Fox Photos, Hulton Archive/Getty Images

A year after the Trooping the Colour incident, Elizabeth had another run-in. But instead of near Buckingham Palace, this time it was inside Buckingham Palace. On July 9, 1982, a man named Michael Fagen managed to climb over the Palace's barbed wire fence, shimmy up a drain pipe, and eventually sneak into the Queen's bedroom.

While reports at the time said Fagen and the Queen had a long conversation before he was apprehended by palace security, Fagen told The Independent the Queen didn't stick around to chat: "She went past me and ran out of the room; her little bare feet running across the floor."

21. SHE TECHNICALLY OWNS ALL THE DOLPHINS IN THE UK.

The HMAS Vengeance seen from a helicopter, as the Australian Naval crew spell out the signature of Queen Elizabeth II on the deck, in 1954.
The HMAS Vengeance seen from a helicopter, as the Australian Naval crew spell out the signature of Queen Elizabeth II on the deck, in 1954.
Keystone, Hulton Archive/Getty Images

In addition to owning all of the country's dolphins, she owns all the sturgeon and whales, too. A still-valid statute from the reign of King Edward II in 1324 states, "Also the King shall have ... whales and sturgeons taken in the sea or elsewhere within the realm," meaning most aquatic creatures are technically labeled "fishes royal," and are claimed on behalf of the Crown.

As the song goes, "Rule, Britannia! Britannia rules the waves!"

22. SHE HAS HER OWN SPECIAL MONEY TO GIVE TO THE POOR.

Queen Elizabeth II hands out maundy money in 2004.
Queen Elizabeth II hands out maundy money in 2004.
PHIL NOBLE, AFP/Getty Images

Known as "maundy money," the Queen has silver coins—currently with Elizabeth's likeness on the front—that are given to pensioners in a ceremony called Maundy Thursday. The royal custom dates back to the 13th century, in which the royal family was expected to wash the feet of and distribute gifts to penniless subjects as a symbolic gesture to honor Jesus’s act of washing the feet of the poor in the Bible. Once the 18th century rolled around and washing people's dirty feet wasn't seen as befitting of a royal, the act was replaced with money allowances bequeathed by the monarch.

23. GIN IS HER DRINK OF CHOICE.

Queen Elizabeth II sipping a drink.
RUSSEL MILLARD, AFP/Getty Images

The Queen drinks gin mixed with Dubonnet (a fortified wine) and a slice of lemon on the rocks every day before lunch. She also reportedly drinks wine at lunch and has a glass of champagne every evening.

24. SHE CREATED HER OWN BREED OF DOGS.

Queen Elizabeth with her dog Susan, circa 1959.
Queen Elizabeth with her dog Susan, circa 1959.
AFP, Getty Images

Elizabeth has a famous, avowed love of Corgis (she has owned more than 30 of them during her reign; her last dog, Willow, recently passed away), but what about Dorgis? She currently owns two Dorgis (Candy and Vulcan), a crossbreed she engineered when one of her Corgis mated with a Dachshund named Pipkin that belonged to Princess Margaret.

25. SHE'S ON SOCIAL MEDIA … KIND OF.

Queen Elizabeth II tours a Canadian Blackberry factory in 2010.
Queen Elizabeth II tours a Canadian Blackberry factory in 2010.
John Stillwell, Pool/Getty Images

The Queen joined Twitter in July 2009 under the handle @RoyalFamily, and sent the first tweet herself, but hasn't personally maintained the page since then. In fact, a job listing went up in 2017 looking for an official royal Digital Communications Officer to help out. She's also on Facebook (and no, you cannot poke The Royal Family).

This story originally ran in 2017.

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