the Four Noble Truths are as follows: 1. Attachment to the five aggregates is suffering 2. The origin of suffering is the arising of craving 3. The cessation of suffering is the cessation of craving 4. The Noble Eightfold Path is the way to the cessation of craving If people with a birth defect can realise the Four Noble Truths, they will cease to suffer Physical sickness, injury or deformity is not suffering When the Buddha was dying his body had great pain & sickness but his mind did not suffer If we are interested in learning about Buddhism, the following scripture is a clear explanation of suffering & its cessation Kind regards