221028-N-LP924-2178 PUERTO BARRIOS, Guatemala (Oct. 28, 2022) Capt. Timothy Platz, from Dyersville, Iowa, conducts bilateral hernia repair open surgery on a Guatemalan citizen aboard the hospital ship USNS Comfort (T-AH 20), Oct. 28, 2022. Comfort is deployed to U.S. 4th Fleet in support of Continuing Promise 2022, a humanitarian assistance and goodwill mission conducting direct medical care, expeditionary veterinary care, and subject matter expert exchanges with five partner nations in the Caribbean, Central and South America. (U.S. Navy photo by Mass Communication Specialist 3rd Class Sophia Simons)