The President of the United States of America takes pleasure in presenting the Navy Cross to Lieutenant (MC) Edward Lillo Crain, Jr., United States Naval Reserve, for distinguished service in the line of his profession while serving as a Surgeon of the First Battalion, Fifth Marines, FIRST Marine Division, in action against enemy Japanese forces on Okinawa Shima, Ryukyu Islands, on 9 May 1945. Observing a number of untreated casualties lying in a valley to his front, Lieutenant Crain braved heavy machine-gun and mortar fire which had prevented stretcher bearers from reaching the wounded men, to move into the valley and administer first aid. Despite intensified fire from enemy-held caves surrounding three sides of the valley, he courageously moved from man to man under constant observation from the enemy and administered medical aid to all the men, remaining in this exposed position for over five hours. When an amphibian tractor was finally able to break through, he personally assisted in carrying the wounded and ably supervised the evacuation until the last casualty had been moved to safety. By his professional ability, fortitude and intrepid spirit in the face of intense hostile fire, Lieutenant Crain upheld the highest traditions of the United States Naval Service.