Dr Nous Sarom has been with Rose Charities since its founding in Cambodia (originally as a divison Project IRIS) in 1998. His medical training was in Phnom Penh, followed by further surgical training with MSF, Operation Unis and with Rose Charities itself. He has undertaken further training periods in Hongkong, Thailand and Canada. Dr Sarom founded Operation FIRST together with Rose Charities at Chea Chumneas hospital in order to transfer Rose Charities surgical facilities to a proper Ministry of Health Hospital (previously it had been working out of medically inappropriate buildings of another ministry). Dr Sarom is Cambodias leading maxillo-facial and rehabilitative surgeon operating on land-mine injuries to burns to cleft lip and palate, and noma cases.
Operation FIRST is a gateway center for a number of international groups which conduct training and operative missions to its center and/or use its staff. Apart from Rose Charities, it is a SMILETRAIN, Operation Rainbow and IMPACT center and a focus for teaching for the Chinese University of Hong Kong
In 2008 Dr Sarom was awarded the 2007 Charity Rose Award for outstanding humanitarian service at the Rose Charities International Meeting in Penang