Despite the fact that a strong, organized medical unit is a necessity within shinobi villages, Tenkūgakure did not formally establish one until well after the events of the Third Shinobi World War. This was due to the fact that the nation and its hidden village were both exceptionally neutral in global affairs, and the nature of their missions did not result in a large number of injuries or casualties. Instead, a large number of privately-owned clinics dotted the Land of Air and rendered medical care, of varying degrees of quality, to the people. Reform came after the former Air Daimyō passed away due to illness, despite the best efforts to save his life by his private physicians. Following this unfortunate event, the newly-appointed Daimyō made it his first order of business to unify the