Sir, The coronavirus disease 2019 (COVID-19) pandemic has impacted healthcare throughout the globe. Elective surgery cases were paused; nonelective cases declined significantly; and redeployment of specialists became a reality. The rise in hot zones located throughout the United States contributed to our military’s rapid mobilization of medical assets to these trouble spots. Our plastic surgeons serving in the Armed Forces have answered the call and have been repurposed into leadership, logistical, and clinical roles outside of their traditional scope of practice. We have been deployed to sea-based platforms (ie, USNS Mercy and Comfort), field hospitals (eg, the Javits Center, N.Y.), as well as embedded within medical centers in cities where the COVID-19 pandemic has had a severe impact. The vertical and horizontal integration of military plastic surgeons into the Department of Defense COVID-19 response force highlights our specialty’s adaptability in times of crisis. The capabilities and adaptability of our medical specialty have made a significant impact on this global pandemic fight. We have plastic surgeons serving in command positions, leading the coordination with other Department of Defense and Armed Forces personnel, governmental agencies (eg, Federal Emergency Management Agency, Centers for Disease Control and Prevention, Public Health Service, Food and Drug Administration Gubernatorial offices, State Departments of Health and hospital associations), and local health care agencies to staff incident command centers. We have directed the distribution of medical assets consisting of cross-functional medical teams, including providers, nurses, and ancillary staff, to be rapidly mobilized to the hardest-hit areas and medical centers. Our plastic surgeons are integral parts of the deployed military-based surgical and critical care teams, directly staffing and upgrading the number of intensive care units and critical care capabilities within these centers. Our cross-functional skill sets and background experience in general surgery and critical care medicine have been of high priority and valued at the time of this COVID-19 crisis. Plastic surgeons have been directly providing care to patients suffering from complex medical conditions surrounding COVID-19 infection. Critically ill COVID patients commonly suffer from multiorgan system failure, high rates of respiratory failure requiring mechanical and/or "noninvasive" ventilation, and kidney failure necessitating renal replacement therapy, as well as often require vasopressors, paralytics, and sedation through their intensive care (ICU) course. Our team provide vascular access and employ prone positioning as “line and prone team members” for those patients who may benefit from these services. In addition, we provide surgical care for patients requiring emergent treatment for general surgery and orthoplastic, hand, and craniofacial injuries or ailments. Provision of these services has been critical as local surgeons and critical care specialists are taxed by exhaustion and/or are compromised by COVID infection, thus removing them from their normal duties. Our diverse skill sets and familiarity in general surgery principles have allowed our military plastic surgeons to keep up, rapidly assimilate, and quickly evolve in our understanding of COVID treatment observations and guidelines and to become integrated vertically and horizontally in battling this pandemic. Importantly, our team is providing critical relief to various overburdened physicians and nurses at the hardest-hit hospitals while providing a stabilization force in this time of need. US military plastic surgeons have given additional meaning to the root word “plastikos” during this COVID-19 pandemic. We have adapted and repurposed ourselves into numerous roles outside of our normal scope of practice to attack this latest challenge. We work closely with military and civilian specialties to provide the best possible care to our fellow Americans stricken with COVID infections. With respect, fellow Americans, “we have the watch.” DISCLOSURE The authors have no financial interest to declare in relation to the content of this article.