Lexicon of the Hamas Organization

Al Shifa Hospital




Shifa Hospital. Credit: ‘Washington Post’ FB page.

Al-Shifa Hospital, the largest medical facility in Gaza, has played a significant role in the region’s history, particularly during various conflicts involving Israel and Palestinian factions. This article provides an overview of the hospital’s background, its role in conflicts and the controversies surrounding it.

Background and History

Al-Shifa Hospital, originally a British Army barracks, was transformed into a hospital in 1946. During the 1948 Arab Israeli War, it became one of Gaza’s primary medical facilities. Following the war, the Egyptian administration expanded the hospital, adding various departments. Post the 1967 Six-Day War, when Israel occupied Gaza, the entire Egyptian hospital staff was taken prisoner, and subsequently, the hospital underwent significant renovations and expansions under Israeli administration. This included the addition of a large basement in the 1990s, which later became a point of controversy regarding its use​​.

Use During the 2007 Fatah-Hamas Conflict

During the Fatah-Hamas conflict in June 2007, Al-Shifa Hospital became a site of violence between the two factions. The conflict led to the deaths of members of both groups within the hospital premises. Hamas also reportedly dismissed hundreds of Fatah-affiliated medical staff and used the hospital as a strategic location. This period was marked by fear and violence within the hospital, severely affecting its operation and medical staff​​.

Role in the Wars with Israel

Al-Shifa Hospital has been central during various wars between Israel and Gaza. For instance, during the 2008-2009 Gaza War, the hospital was overwhelmed with casualties due to Israeli airstrikes. Allegations surfaced that Hamas used the hospital as a military base, a claim that was difficult to verify due to restricted access to Gaza by journalists. These allegations have been a recurrent theme in subsequent conflicts, contributing to the complexity surrounding the hospital’s role in the region​​​​.

Al-Shifa Hospital in the 2023 Israel-Hamas War

Hamas Tunnels under Al-Shifa Hospital. Credit: Ohad Hemo’s FB page.

The 2023 Israel-Hamas war brought Al-Shifa Hospital back into the spotlight. Israel and the U.S. accused Hamas of using the hospital as a command center, for storing weapons, and holding Israeli hostages.  

Legal and Ethical Implications

The use of Al-Shifa Hospital in armed conflict raises significant legal and ethical questions. Under international law, hospitals enjoy protected status, which is jeopardized if the facility is used for military purposes. The allegations and counter-allegations regarding the hospital’s use in the 2023 conflict illustrate the challenges in maintaining this protected status in a war zone. The international community’s response and the calls for investigation highlight the complexities of warfare in densely populated urban areas like Gaza​​.


Al-Shifa Hospital’s history is deeply intertwined with the broader geopolitical and humanitarian issues in the Gaza Strip. Its role in various conflicts, especially the recent 2023 Israel-Hamas war, underscores the challenges of operating a major medical facility in a conflict zone. The hospital not only provides essential medical services to the population of Gaza but also represents the difficulties faced in preserving humanitarian spaces in times of war.


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