Mark Perlmutter, an American orthopedic surgeon, describes treating patients injured in Gaza and says the scale and severity of harm he saw surpasses anything from his prior deployments. In accounts published by multiple outlets, he describes witnessing extreme brutality during the period of Israeli bombardment and provides comparisons to other disasters he has worked through.

Perlmutter reports he has treated injured people in conflicts and disasters across roughly 30 countries, including experiences in the United States, as well as medical work tied to major events such as Hurricane Katrina and the aftermath of the Sept. 11 attacks in New York. According to the sources, he tells AFP that the first week of his work in Gaza is worse than all previous experiences combined. Both outlets focus on his personal perspective on the injuries and medical strain, rather than providing detailed independent casualty or operational figures.