They were joined from the sternum to the groin and share a set of organs. After a two-year stay in the hospital, it was determined that they could not be safely separated. Local schools deemed the twins are distraction and there were subsequently never formally educated, resulting in their lifelong functional illiteracy.

In 2009, Ronnie suffered a life-threatening infection in his lungs, which quickly endangered both twins. After their hospitalization, they required round-the-clock care. Their younger brother Jim and his wife, who lived in the same town, were unable to bring the twins into their home as it was not handicap accessible.

According to the 2009 Guinness World Record, the Galyons are the oldest living set of conjoined twins in the world, and, as of 29 October 2014, possess the world record for the longest-lived conjoined twins in history when they surpassed prior record holders Giacomo and Giovanni Battista

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