Doctors Without Borders (MSF) has warned that delays in renewing its authorization to operate in Gaza and the West Bank could have devastating consequences for Palestinian civilians, as the humanitarian and health systems continue to collapse under the weight of war and protracted displacement.

In a statement posted on X, MSF said that as of 31 December 2025, it was still awaiting renewal of its registration under new Israeli requirements, including the submission of staff lists, a process that could significantly limit its ability to operate in the occupied Palestinian territory.

The organization said the situation on the ground has reached a critical point, with Gaza’s healthcare system largely destroyed and essential infrastructure in ruins.

“The Palestinian health system is decimated, essential infrastructure is destroyed, and people struggle to meet basic needs,” MSF said, warning that humanitarian needs are increasing while access to care is shrinking.

MSF stressed that any disruption to its operations would have severe consequences for civilians, noting that international humanitarian organizations are already operating under extreme pressure.

“People need more services, not less,” the organization said, adding that if MSF and other international NGOs are forced to scale back or halt operations, “hundreds of thousands of Palestinians would be cut off from essential care.”

The medical charity highlighted the scale of its current work in Gaza, underscoring its role as a key provider of lifesaving services. MSF said it currently supports one in five hospital beds in the enclave and assists in one out of every three births.

In 2025 alone, the organization reported providing nearly 800,000 outpatient consultations, treating more than 100,000 trauma patients, performing 22,700 surgeries, assisting in over 10,000 births, and distributing almost 700 million liters of water.

Humanitarian groups have repeatedly warned that additional restrictions on aid agencies would further erode Gaza’s already fragile health system, placing civilians, particularly children, the injured, and pregnant women, at even greater risk.

MSF called for immediate action to ensure continued humanitarian access, stressing that lifesaving medical assistance must not be obstructed by administrative or political barriers.