[1][2] In February 1942, Colonel Percy J. Carroll, the Chief Surgeon of the US Army Forces, Southwest Pacific Area, found that he had problems integrating large 400 to 750-bed field and evacuation hospitals into troop flow as forces advanced because of the underdeveloped transportation infrastructure and terrain in the Southwest Pacific, particularly in Papua and New Guinea.
This limited his ability to move hospitals closely forward behind advancing forces and support combat operations with effective, far-forward surgical care.
[3] A radical departure was that all of the unit's equipment, medical and surgical supplies, and rations could weigh no more than the 29 men could personally transport.
And, finally, the Portable Surgical Hospitals had been stripped so lean that they were never truly self-sufficient, and had to rely on other units for life-support.
One-hundred percent mobile with organic vehicles, with 60 beds and assigned nurses, and fully equipped and supplied to provide definitive care, the MASH built on the experiences of the PSHs of World War II.