Thousands of sick and wounded residents in Gaza, including young children with life-threatening conditions, are waiting for the chance to leave for urgent medical treatment as the health system struggles after years of conflict. The Rafah border crossing into Egypt, once a vital lifeline for medical evacuations, has been mostly closed since May, leaving many unable to access care outside Gaza. Although Israel has agreed to reopen the crossing under a cease-fire deal, delays have continued, and only a small number of patients have been allowed to leave through alternative routes. Local health officials report that hundreds have died while waiting for evacuation, and it remains uncertain who will be prioritized when the crossing reopens. For now, hope is all that sustains those in need.