This topic is probably the most important in the field of military healthcare in the long term, because care of this nature is the very reason why the whole sector was created. Effective forwarded surgical care is a crucial factor in reducing preventable battlefield casualties, known and developed since the historical beginnings of military healthcare. This highly demanding medical discipline is an absolutely essential component of the modern war effort, in which it takes on a whole new dimension thanks to unimaginable technological, medical and military-tactical progress. The changed character of the world's main battlefields seems to be crucial at present, with the return of conventional warfare accompanied by attacks on health workers. We stand before the next stage of challenges related primarily to the mobility and tactical capabilities of professionals providing this specific type of care. In the text, we have come out of the historical context that led to the evolution of this care into today's form, which we have analyzed in detail on the sample of the most advanced medical support of armies in the world. This example shows us the breadth and variability of these elements with regard to the various eventualities of their use. On this basis, we present the concept of systems providing this kind of care from both the global and the Czech Republic's point of view. At the same time, for understandable reasons, we pay close attention to the specifics of this type of care in Czech conditions.

Keywords: special operations surgical team; damage control surgery; damage control resuscitation; operation in Afghanistan; war in Ukraine