Donations are required to register, and that funds hosting fees.
There are no sponsors or anything like that. I have a degree in computer science, so I can maintain that part of things easily. When I started the site over 10 years ago, all the other jaw sites were very pro-jaw surgery, and when cases went wrong they'd blame the patient and write it off as a rarity, then go back to cheer-leading jaw surgery, so I started this one to be more factual and educational about things...that there are real risks, etc. I'm not a doctor, I'm not sponsored by doctors, and I have no "motive" other than being realistic about the surgery.