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International aid to Syria is at an inflection point. Operationalizing humanitarian principles and securing ceasefires would allow the aid community to close gaps in coverage and move toward making communities more resilient, helping stabilize the region. Failing to do so will exacerbate the deprivation and oppression that started the war, prolonging instability far into the future. This CSIS report delves into the challenges to aid provision throughout Syria and recommends a way to overcome them. It is based on interviews with over 130 UN officials, aid workers, negotiators, diplomats, and analysts working on the aid response, as well as a review of databases, open-source documents, and internal reports and evaluations.