Topical negative pressure (TNP) dressings are now used at the Role 3 military hospital at Camp Bastion, Afghanistan, to support the management of dynamic and challenging injuries sustained through conflict. A total of 16 pumps are currently available at this hospital for use on patients with a variety of injuries, including open fractures and catastrophic soft tissue deficits. The increasing use of TNP dressings have transformed the management of wounds at this hospital by decreasing the time to wound closure among Afghan civilians and enabling the military aero-medical evacuation teams to transfer their patients back home with dry, intact dressings.