The U.S. Department of the Navy’s Bureau of Medicine and Surgery has a long and cherished tradition of serving and safeguarding the health of U.S. Navy and Marine Corps personnel. The Bureau plays a central role in the most effective joint casualty care and management system in military history, saving thousands of lives that otherwise would have been lost on the battlefield. “The Bureau of Medicine and Surgery, affectionately known as BUMED,” says Vice Admiral Adam Robinson, U.S. Navy surgeon general, “has existed since 1842.” He describes its mission as force health protection, which includes a fit and ready force, deploying with the warfighters, supporting the warfighter no matter what, and then taking care of eligible family members and retirees. “We practice patient and family-centered care,” proudly asserts Robinson, “because we recruit individuals, but we retain families.” Navy Medicine is capable of supporting the full range of operations from combat support throughout the world to humanitarian assistance. As a result, it needs to maintain a ready and fit force.