Ukrainian surgeons are performing life-saving operations in underground, makeshift operating rooms close to the front lines. These facilities receive the most severely wounded soldiers evacuated from the battlefield, often under intense fire as evacuation teams are deliberately targeted by Russian forces. A recent case involved a soldier evacuated within four hours of injury, requiring immediate and extensive surgery. The conditions are described as brutal, with surgeons facing extreme challenges and dealing with horrific injuries, even cleaning blood from the floor during procedures. Despite the dangers and limited resources, medical personnel are working tirelessly to maximize survival rates for Ukrainian soldiers. The speed of evacuation and surgical intervention is critical for these patients.