Introduction The Syrian conflict has entered its tenth year, with a devastating humanitarian and economic toll: the death of 384,000-593,000 people as of December 2020; the forced displacement of an estimated 13.5 million people, almost half of whom are displaced internally, struggling to survive; economic loss of $428 billion from 2011 to 2018 (six times the GDP in 2010); depreciation of the Syrian lira (now 13 times less valuable than before the conflict); high unemployment; the destruction of physical property, including homes, infrastructure, hospitals, schools; and the reality of 90% of the population living below the poverty line. Yet the war has also resulted in significant environmental destruction â a form of damage that receives less attention but represents major potential harm with long-term negative consequences on public health, the economy, and peace itself, and which must be central to any post-conflict relief or reconstruction effort.