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Medical staff faced with unimaginable choices
![ALEPPO UNDER FIRE ALEPPO UNDER FIRE](https://img.msf.org/AssetLink/87665rg50lf178fybt0qh4u52c57c3vi.jpg)
Eastern Aleppo hospitals damaged in 23 attacks since July
![Abu Khalid, orthopedic surgeon in an MSF supported hospital in east Aleppo Abu Khalid, orthopedic surgeon in an MSF supported hospital in east Aleppo](https://img.msf.org/AssetLink/05o27a2b0f52755a2qu2tfucy713xtln.jpg)
I have seen people with injuries that I cannot describe
![Damage in Al-Bayan hospital Damage in Al-Bayan hospital](https://img.msf.org/AssetLink/ekf0320hpbli7785vud6lx0iprj3ms66.jpg)
Hospitals hit repeatedly by Russian and Syrian airstrikes, condemning hundreds of wounded to certain death
![Kunduz Hospital After the Attack Kunduz Hospital After the Attack](https://img.msf.org/AssetLink/f8fsnrhc1g64kx8sd32g47teh584ly3s.jpg)
Battlefields without doctors, in wars without limits
![MSF Trauma Centre In Kunduz, Afghanistan MSF Trauma Centre In Kunduz, Afghanistan](https://img.msf.org/AssetLink/mqrwfar3u8o4g8b8x4v32ujism2312ah.jpg)
One-year commemoration of the attack on the MSF Kunduz hospital
![MSF Logistique - Bordeaux MSF Logistique - Bordeaux](https://img.msf.org/AssetLink/6n18rd5g56s7lm4ki11l63g560mneu7h.jpg)
How we deliver medical humanitarian assistance
Everywhere we work, the circumstances are unique. Nonetheless, our programmes generally follow a common set of practices designed to make sure our resources and expertise are used to maximum effect.