KOROR, Palau, (Dec. 29, 2023) Lt. Cmdr. TJ Algiers, from Hartford, Wisconsin, left, performs a right scrotal orchipexy on a pediatric patient alongside Japan Ground Self-Defense Force Lt. Col. Makoto Nishikawa, right, aboard the hospital ship USNS Mercy (T-AH 19), anchored off Koror, Palau, as part of Pacific Partnership 2024-1, Dec. 29, 2023. Pacific Partnership, now in its 19th iteration, is the largest multinational humanitarian assistance and disaster relief preparedness mission conducted in the Indo-Pacific and works to enhance regional interoperability and disaster response capabilities, increase security stability in the region, and foster new and enduring friendships. (U.S. Navy photo by MC2 Celia Martin)