Chang and Eng Bunker (no relation to Archie) were the first pair to survive to adulthood. They were male and they hailed from Siam, hence the name. It is a congenital anomaly and is not linked to any specific ethnic group. The Hilton sisters appeared to be partly at least Italo-American. Conjoined twins is the preferred term. Siam (now Thailand) rejected the term as racist and asked other countries to not use that term.
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