They were NOT too poor to have the operation, because did you see their house? It was bloody huge, with a gate, a housekeeper and alot of space (with a huge piano/fancy furniture/record player and everything) . Also they had no problem staying at the hospital for an extended time.
I think it was out of choice, they were always together and only when Vee was involved and Ploy's stubborness did Pim want to be separated.
You also have to remember their mom totally loved them together. She was happily sewing up their clothes to fit them in the intro and seemed to be quite supportive of their upbringing probably thinking they were special a real two part blessing for her.
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