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Members of the U.S. Army's 135th Forward Resuscitative and Surgical Detachment, 65th Medical Brigade deployed to Papua New Guinea’s Port Moresby General Hospital (POMGEN), enhancing trauma care. Working in a resource-constrained environment, the team collaborated with local medical staff to exchange expertise, build interoperability, and adapt to high-demand scenarios. This surgical rotation was facilitated by the Defense Cooperation Agreement which was signed in May 2023 and ratified in August 2023.