Two million civilians in Gaza are suffering hunger, displacement, and risk of death on an unprecedented scale. Their appalling situation is the responsibility of all parties to the conflict. As humanitarian organizations working in Gaza, Doctors Without Borders/Médecins Sans Frontières (MSF), International Rescue Committee, and other nongovernmental organizations (NGOs) have repeatedly urged the use of all means available to relieve the suffering, in accord with the humanitarian principles of humanity, impartiality, neutrality, and independence. But our ability to save lives is jeopardized by severe constraints on our operations.