221027-N-DF135-1161 PUERTO BARRIOS, Guatemala (Oct. 27, 2022) – Hospital Corpsman 3rd Class Monica Martinez, from Edinburg, Texas, front, reaches for surgical instruments during a laparoscopic cholecystectomy aboard the hospital ship USNS Comfort (T-AH 20), Oct. 27, 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 Seaman Deven Fernandez)