Marines and attached Naval medical personnel suffered total casualties of 20,020 killed, wounded, and missing. Japanese casualty figures are hazy. However, 107,539 enemy dead were counted on Okinawa. Approximately 10,000 enemy troops surrendered, and about 20,000 were either sealed in caves or buried by the Japanese themselves. Even lacking an exact accounting, in the final analysis the enemy garrison was, with rare exceptions, annihilated. Unfortunately, approximately 42,000 Okinawan civilians, caught between the two opposing armies, perished from artillery fire and bombing.