As of 31 December 2025, MSF is still awaiting renewal of its registration to operate in Gaza and the West Bank under new Israeli requirements, including staff lists. The Palestinian health system is decimated, essential infrastructure is destroyed, and people struggle to meet basic needs. People need more services, not less. If MSF and other INGOs lose access, hundreds of thousands of Palestinians would be cut off from essential care. We currently support one in five hospital beds and the delivery of one in three births in Gaza. In 2025 alone, we provided nearly 800,000 outpatient consultations, treated over 100,000 trauma cases, performed 22,700 surgeries, assisted more than 10,000 births, and distributed nearly 700 million litres of water.