This is a black and white photograph depicting a scene outside a tent, likely a field hospital during the American Civil War. The tent is a simple A-frame structure, decorated with a wreath or garland at its peak. Inside the tent, a group of men, presumably medical personnel and soldiers, are gathered around a table. One man is lying on the table, appearing to be injured or undergoing medical attention. Several men are attending to him, while others stand around observing. They are all dressed in military uniforms, indicating they are soldiers or medical staff. Outside the tent, a larger group of soldiers is standing around, watching the scene. They are also dressed in uniforms and appear to be concerned or somber. The background is filled with trees, suggesting the scene is taking place in a wooded area or field. The ground is uneven and covered with grass and dirt. The overall mood of the photograph is serious and somber, reflecting the harsh realities of war and the suffering of those involved. The image provides a glimpse into the medical practices and conditions of the Civil War era.