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Surgical assistance on board is not simple. It presents a series of peculiarities that are not found in the rest of the healthcare field. For this reason, personal experiences can take on special relevance. Both authors have sailed on Spanish Navy ships in the Atlantic, Indian and Mediterranean oceans. Our mission has been to ensure that crew members do not fall ill and, should this unfortunately happen, to provide them with the maximum possible medical support in order for them to recover their health. This book describes previously published "surgical experiences" in Operation Enduring Freedom, Operation Atalanta, Operation FINUL, during the FLOTEX exercise and on a Juan Sebastian Elcano cruise. Many readers will not be familiar with these missions. Another objective is to discover this "hidden" role of the Spanish Military Health. We hope that the Virgen del Perpetuo Socorro (Patroness of Military Health) and the Virgen del Carmen (Patroness of the Navy) will enlighten us in our informative task and with their support we will be able to reach a good port.