221117-N-VQ41-1022 CARTAGENA, Colombia (Nov. 17, 2022) A young Colombian patient sits on an operating room table aboard hospital ship USNS Comfort (T-AH 20), before his cosmetic surgery, Nov. 17, 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 2nd Class Ethan J. Soto)