Only a tiny fraction of the more than 15,600 people in need of medical evacuation from Gaza have been able to do so. MSF calls on Israeli authorities to facilitate medical evacuations of all patients who require care unavailable in the Strip, without prejudice to their right to a safe, voluntary, and dignified return to Gaza.
Days after the war broke out in Gaza, Israel ordered about half of the entire population to flee to the south. We stayed in the north and moved to the nearest MSF office, where many of the staff and their families had gathered. It felt safer than our homes, though every sound outside reminded us that nowhere was truly safe.
As weeks passed, Israeli forces stormed Al-Shifa Hospital, and fear spread through every corner of Gaza City. By then, shops and bakeries had long shut down, and hunger was starting to tighten its grip on the north of the Strip. The city was being demolished and the people who remained were starving. We decided to flee, hoping the south of the Strip might offer a small chance of survival.
A tragic attempt to reach safety
MSF tried to arrange safe passage for staff during brief windows permitted by Israeli forces. We set off in a convoy of cars carrying both MSF staff and their families. But with thousands desperate to flee and chaos overwhelming the Netzarim corridor, the window closed before we could cross to the south, and we were forced to turn back to Gaza City. As our convoy, which was clearly marked with MSF logos, turned back toward the clinic, gunfire suddenly erupted: Bullets tore through the air, windows shattered, and shrapnel ripped into our vehicles.
In the chaos of the gunfire, Alaa Al-Shawa, who had been volunteering with MSF as an emergency nurse, was shot in the head while holding my children. He died instantly.
My children remember that day as if it were yesterday—the gunfire coming from so many directions that it was impossible to tell where it began, the bullet that passed just above their heads before striking Alaa, and the killing of our colleague and friend whom they loved deeply. We were close enough to the clinic to rush inside, but even there, we watched Alaa bleed as every attempt to save him failed.
The children were screaming, their cries filling the air as Alaa was buried. We stood there in disbelief, our minds unable to process what had happened.
We remained trapped in the clinic for the next few days, sleeping in the same place where Alaa’s body lay beneath the ground. There was nowhere else to go. My eldest son was especially shaken; each night he would wake up crying, haunted by the image of Alaa’s dead body and what he had seen.
When we finally managed to cross into the south in late November 2023, the road was filled with corpses lying where they had fallen. It was a sight no one could ever erase from their minds.
Finally, we reached Khan Younis and found shelter on MSF’s premises. But even there, the war found us. A nearby strike shattered the windows, shaking the building to its core. Later, a tank shell hit the facility directly, despite it being clearly marked with the MSF flag and logo. In that attack, the daughter of one of our MSF colleagues was killed.
Searching for care for an injured child
After the bombing, we fled again, this time to Rafah, the so-called safe zone. But even there, the airstrikes never stopped. If the bombs did not fall directly on homes, their shrapnel would still tear through walls and shelters. Months of displacement followed, marked by unbearable loss and inhumane living conditions. Time blurred as we moved from one place to another, surviving day by day.
Just when we thought we had endured the worst, the genocide brought new terror to our doorstep: On June 27, 2025, an airstrike hit the street beside our home. Our youngest son, Omar, was standing by the door when a piece of shrapnel tore through his leg. He was only 5, already weakened by months of fear and hunger. In Gaza, he underwent several surgeries in unbearable conditions, amid starvation and soaring prices of food and medicine that we could no longer afford or access under the Israeli siege.
Six weeks later, our colleagues managed to transfer us to MSF’s reconstructive surgery hospital in Jordan. By then, Omar was malnourished, and his siblings were dangerously underweight.
Here in Amman, he has undergone additional surgeries and received mental health care. He can now stand, play, and just be a child again. Watching him take those first steps toward recovery reminds us that even after everything, life can begin again.
But no matter how much care he receives, a part of his childhood will always carry the scars of what happened—a genocide that we still struggle to believe was allowed to happen to us, to our children, and to the land we love so deeply.
About MSF’s reconstructive surgery program in Jordan
Since October 2023, MSF’s reconstructive surgery program in Jordan has received 45 children from Gaza, along with their caretakers, for specialized and rehabilitative care unavailable in the Strip. The program was originally established in 2006 to treat victims of the Iraq War. As conflict-related injuries surged across the Middle East, MSF’s hospital in Amman expanded to admit patients from more than six countries, offering medical expertise unavailable in their home countries. It has since become a regional hub for the treatment of patients with complicated, life-changing injuries, offering surgical and rehabilitative care for orthopedic, plastic, and maxillofacial trauma, as well as burns and other conflict-related injuries.
The program takes a holistic approach including surgical care, physiotherapy, occupational therapy, mental health support, and psychosocial care. Most patients stay for months at a time to heal their physical and psychological wounds.
More on medical evacuation from Gaza
September 23 09:00 AM
We share the same pain: Peer support for war-wounded patients in the Middle East
At MSF’s Reconstructive Surgery Program in Jordan, peer support is an important part of healing that helps patients cope with pain, treatment, and being far from home.
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August 01 10:09 AM
Documentary: Leaving Gaza
MSF staff member Emad and his family share their story on their medical evacuation from Gaza, and current life in France.
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July 17 10:15 AM
Medical evacuation from Gaza: Thousands need care no longer available in the Strip
Israeli authorities must facilitate the medical evacuation of all patients who require it—and without prejudice to their right to a safe, voluntary, and dignified return to Gaza.
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September 23 12:00 PM
Longing for Gaza after medical evacuation: Abdul Rahman’s story
Abdul Rahman is one of the few Palestinian children who have been able to medically evacuate Gaza for specialized care. He shares his story from MSF’s hospital in Jordan, where he is receiving care.
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September 20 12:23 PM
The long road to recovery for Gaza’s war-wounded children
MSF is treating medical evacuees from Gaza in Egypt and Jordan, but thousands who require specialized care are still trapped in the Strip.
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