180406-N-UP035-0026 PUERTO BARRIOS, Guatemala (April 6, 2018) Lt. Cmdr. Jason Souza examines a 5-year old Guatemalan girl as a candidate for facial reconstruction surgery at Hospital Nacional Infantil Elisa Martinez in Puerto Barrios, Guatemala, during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)