Small medical units can be forward deployed to perform civil medical service during insurgencies, but they must look beyond the immediate public relations value of their presence by building the indigenous health care sector. These units need personnel whose vision extends beyond conserving the fighting force alone and who will treat all patients equally. Also needed are dedicated interpreters whose role includes interface with host nation health care authorities. Finally, medical and combatant commander support is imperative. Given command emphasis, these units can function at low cost and go far in increasing the capacity of the native health care sector along with other benefits that make them force multipliers, and their effects will remain long after the coalition withdraws