The destruction wrought by the war has left behind a healthcare landscape defined by infrastructural devastation, acute workforce shortages, and fractured governance structures amidst a highly volatile security context. Cross-border mechanisms for conflict response became increasingly crucial in this setting. The Gaziantep humanitarian hub was particularly critical in serving give regions like Northwest Syria where international and local actors had to coordinate healthcare service provision and aid delivery across borders. The logistical, political, and humanitarian dimensions of cross-border healthcare delivery shaped not only access to care but also the institutional frameworks that emerged in the ensuing governance vacuum.