180406-A-YI894-0177 PUERTO BARRIOS, GTM. (Apr. 06, 2018) Guatemalan Surgeons preform a cholecystectomy surgery on a patient at Hospital de Puerto Barrios in Puerto Barrios, Guatemala on Apr. 06, 2018 for Continuing Promise 2018. Naval Forces Southern 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show support and commitment to Central and South America. ( Army photo by Spc. Brandon Best/Released)

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