Almost one thousand days into the full-scale war in Ukraine, healthcare workers have gone far beyond their usual duties. They have taken on emergencies, sexual and reproductive care, and mental health support to ensure that conflict-affected people receive much-needed care, especially in the areas most severely impacted by fighting. The war—marked by heightened stress, long working hours, and shortages of essential supplies—has taken a significant mental toll on Ukrainian medical personnel, compounded by impossible decisions about whose life to save.