It was with utmost bravery that many heroes with ties to Hawaii were killed in action, sacrificing their lives to protect the lives of American and foreign citizens.

The Joint Services Color Guard presents the colors.

A sailor prepares to toll the bell for her fallen comrades.

Speaker of the House of Representatives Calvin K.Y. Say addresses the honored guests and members at the 2009 Hawaii Medal of Honor Ceremony.

The Honor Guard prepares to deliver a 21-gun Salute to the honorees.

The members of the House and Senate observe a moment of silence and reflection on the sacrifices made by those being honored.

A bugler waits patiently to perform the mournful melody, taps.