Ocular health and visual quality are essential components of every military service members’ readiness and are of top priority for the military health system (MHS) to maintain a mission capable force. In 2024, active-duty members alone generated more than 150,000 ambulatory encounters for refractive errors (myopia, astigmatism) highlighting that vision-related impairments remain a significant threat to military operational effectiveness [1]. The Department of Defense (DOD) has long recognized this threat, creating both policies and programs to optimize the vision health of its members. Arguably one of the most revolutionary of these programs since the birth of force wide visual screenings and eyeglasses distribution is the laser refractive surgery centers established within the MHS [2]. Since the inauguration of the laser refractive program in the year 2000, there has been an average of greater than 35,000 refractive surgeries performed yearly DOD wide [3]. With tens-of-thousands of service members’ eyes undergoing these procedures and the progression in refractive surgery techniques/technologies it is imperative for the MHS to routinely evaluate the effectiveness of these surgeries in the setting of ever-evolving modern conflicts. The success of these procedures is not only measured by the visual acuity achieved by recipients, but also the incidence and prevalence of complications to include flap dislocations, diplopia, regression of refractive error, patient satisfaction, and perceived patient readiness for military duty. Existing and ongoing research has shown that nearly 86% of service member recipients achieve uncorrected visual acuity of 20/20 or better after their refractive surgery with greater than 93% of those recipients perceiving improved medical readiness [4]. Aligning with civilian sector data, the risk of major complications of these procedures has persistently remained negligible (< 1%) to include the often-feared LASIK flap dislocations [5, 6, 7, 8, 9]. Twenty-five years of military refractive surgery data has solidified the usefulness and safety of these surgeries as enhancing measures for the readiness and maintenance of a fighting force. These outcomes reinforce the justification of federal funding dedicated to refractive surgery within the DOD. This poster aims to recapitulate the critical role of refractive eye surgery programs within the MHS in sustaining military operational readiness.