POHNPEI, Micronesia (Dec. 18, 2023) Capt. Marco Ayala, an ear, nose, and throat surgeon, right, and Lt. Jeffrey Nunez, a certified registered nurses anesthetist, perform surgery at Pohnpei State Hospital during Pacific Partnership 2024, Dec. 18, 2023. Now in its 19th iteration, Pacific Partnership is the largest annual multinational humanitarian assistance and disaster relief preparedness mission conducted in the Indo-Pacific. (U.S. Navy photo by Mass Communication Specialist 1st Class Jacob I. Allison)