SAVUSAVU, Fiji (Nov. 7, 2023) Lt. Cmdr. Ryan Neal prepares a local Fijian patient for a tooth extraction at the Savusavu Hospital as part of a Pacific Partnership 2023 subject matter expert exchange, Nov. 7, 2023. Now in its 18th year, Pacific Partnership is the largest annual multinational humanitarian assistance and disaster relief preparedness mission conducted in the Indo-Pacific. (U.S. Navy photo by Chief Mass Communication Specialist Kegan E. Kay)