On March 25 the two of us, an orthopedic surgeon and a trauma surgeon, traveled to the Gaza Strip to work at Gaza European Hospital in Khan Younis. We were immediately overwhelmed by the overflown sewage and the distinct smell of gunpowder in the air. We made the short journey from the Rafah crossing to Khan Younis, where Gaza European Hospital stands as one of the last remaining semi-functional hospitals for the 2.5 million human beings—half of them children—in the Gaza Strip. As humanitarian surgeons we thought we had seen all manner of cruelty in the world, but neither one of us has ever experienced anything like what we found when we arrived in Gaza.

We exited the van into a sea of children, all shorter and thinner than they ought to have been. Even over their screams of joy at meeting new foreigners, the snowmobile-like hum of Israeli drones could be heard overhead. It quickly became background noise, an omnipresent reminder that violence and death can rain down on anyone at any time in this besieged and ransacked territory.

Our limited sleep was constantly interrupted by explosions that shook the hospital’s walls and popped our ears, even well after the United Nations Security Council declared a cease-fire must be implemented. When warplanes screamed overhead, everyone braced for a particularly loud and powerful explosion. The timing of these attacks always coincided with “iftar,” when families in this overwhelmingly Muslim county broke the daily fast of Ramadan and were most vulnerable.

We as Americans must acknowledge that we are responsible for this crime against humanity, now in its seventh month and unfolding in full view of the entire world.

We walked through the wards and immediately found evidence of horrifying violence deliberately directed at civilians and even children. A three-year-old boy shot in the head, a 12-year-old girl shot through the chest, an ICU nurse shot through the abdomen, all by some of the best-trained marksmen in the world. Every square inch of the hospital’s floor is taken up with makeshift tents where displaced families live, desperate to find some semblance of safety. They are the lucky several hundred who get to live indoors, unlike the tens of thousands sheltering outside on the hospital’s grounds.

As we got to work we were shocked by the violence inflicted on people. Incredibly powerful explosives ripped apart rock, floors, and walls and threw them through human bodies, penetrating skin with waves of dirt and debris. With the environment literally embedded in our patients’ bodies we have found infection control to be impossible. No amount of medical care could ever compensate for the damage being inflicted here.

As humanitarian trauma surgeons we have both seen incredible suffering. Collectively, we were present at Ground Zero on 9/11, Hurricane Katrina, the Boston Marathon bombing, and the 2010 earthquake in Haiti on the first day of these disasters. We have worked in the deprivation of southern Zimbabwe and the horrors of the war in Ukraine. Together we have worked on more than 40 surgical missions in developing countries on three continents in our combined 57 years of volunteering. This long........

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