Once again, the UNSC cross-border resolution for the delivery of humanitarian aid into northwest Syria will be submitted to a vote on 10 July 2023, after it was renewed in January 2023 for six months only. The devastating earthquake that struck northwest Syria on 6 February 2023 has exposed the already dire humanitarian situation and shed light on the fragile and deficient humanitarian access. A non-renewal might restrict MSF’s capacity to provide life-saving assistance to the people. Therefore, MSF reiterates its call on the UNSC to renew the cross-border resolution to ensure the continued delivery of life-saving humanitarian aid into northwest Syria while protecting it from political interferences. MSF will also highlight the need for a more sustainable and predictable channels for the delivery of humanitarian aid.