Great March of Return Protest
A large crowd of Palestinians gather for the demonstration marking the one-year anniversary of the Great Return March protests, near the Israeli-built barrier that surrounds Gaza, east of Gaza City, Gaza Strip, March 30, 2019. According to the Gaza Ministry of Health, four Palestinians were killed, includind two teenagers, and more than 300 were wounded by Israeli Forces that day. The "Great March of Return" demonstrations started for Land day, on March 30, 2018, calling for the Right of Return of Palestinian refugees, and an end to the Israeli siege over the Gaza Strip. A large crowd of Palestinians gather for the demonstration marking the one-year anniversary of the Great Return March protests, near the Israeli-built barrier that surrounds Gaza, east of Gaza City, Gaza Strip, March 30, 2019. According to the Gaza Ministry of Health, four Palestinians were killed, includind two teenagers, and more than 300 were wounded by Israeli Forces that day. The "Great March of Return" demonstrations started for Land day, on March 30, 2018, calling for the Right of Return of Palestinian refugees, and an end to the Israeli siege over the Gaza Strip.
The
The idea for the Great March of Return emerged from a small group of independent activists, writers, and civil society figures in Gaza in early 2018. Among those most closely associated with its conception was
In the weeks leading up to 30 March, a
Most participants were refugees or descendants of refugees displaced during the 1948
From the outset, Israeli forces responded with force. As crowds approached the fence at several locations, Israeli troops, including sniper units positioned on earth berms, deployed tear gas, rubber-coated bullets, and live ammunition to prevent demonstrators from reaching the barrier. On the first day alone, at least fifteen Palestinians were killed and more than a thousand wounded, drawing international attention to the unfolding crisis. Despite the bloodshed, protests continued weekly, spreading across five principal sites from northern Gaza to
Israel’s Response and International Reactions
Israeli officials characterized the protests as a security threat orchestrated by Hamas, alleging that militants were using civilian crowds as cover for attacks. However, a subsequent
Israel nonetheless adopted rules of engagement permitting live fire against individuals approaching the fence or deemed to be “instigators.” Later disclosures indicated that snipers were instructed to aim at protesters’ lower limbs to incapacitate rather than kill – a tactic that produced catastrophic injuries.
Throughout the protests, Israeli forces repeatedly fired live ammunition at unarmed or lightly armed demonstrators, often from distances of several hundred meters. By the end of 2019, at least 214 Palestinians had been killed. The deadliest single day occurred on 14 May 2018, coinciding with the seventieth anniversary of the Nakba and the formal opening of the US Embassy in Jerusalem, when Israeli snipers killed sixty Palestinians and wounded more than 1,100, an event widely described as a massacre.
During the Great March of Return, three health workers were killed, more than 800 injured, and numerous ambulances targeted. Twice as many health workers were attacked during these protests as during Israel’s previous three wars on Gaza combined. Among the most prominent victims was
Mass Disablement and Health System Strain in Gaza
Beyond the death toll, the Great March of Return produced an unprecedented wave of disabling injuries. By the end of the protests, more than 36,000 Palestinians had been injured, including nearly 8,800 minors. The use of high-velocity rifle ammunition fired at close range against demonstrators’ legs resulted in complex trauma: shattered bones, extensive soft-tissue destruction, and severe nerve damage.
The Israeli military positioned dozens of snipers on sand berms and watchtowers along the Gaza perimeter, armed with high-powered rifles using 7.62-mm caliber ammunition. These rifles, which are standard
Medical personnel reported that over 80 percent of gunshot wounds affected the limbs, particularly the lower extremities. Surgeons noted the striking uniformity of these injuries, suggesting a deliberate targeting pattern rather than incidental harm. International doctors with experience in conflict zones described the wounds as unusually severe for crowd-control situations. One physician compared the practice to “using a tank to kill a fly.” An Israeli sniper interviewed in local media boasted of counting the number of knees he had “collected,” illustrating how incapacitation became an operational measure of success.
The humanitarian consequences were profound. Thousands of young men (the demographic most likely to participate in protests) returned home with permanent impairments. Gaza’s health system, already weakened by blockade, repeated military operations, and shortages of supplies, struggled to cope with the influx of casualties. Médecins Sans Frontières reported admitting over one hundred patients with limb gunshot wounds within the first days of the protests alone. Between March 2018 and late 2019, more than 35,600 Palestinians were injured, including nearly 8,000 by live ammunition.
Hospitals faced shortages of essential surgical equipment, antibiotics, and specialist personnel. Many patients with open fractures could not receive timely operations, leading to infections and complications. As a result, amputations became common. By the end of 2019, at least 155 protesters had lost limbs, including nineteen children, while at least twenty-seven individuals were left paralysed by spinal injuries.
Most amputations were not inevitable. Doctors reported that many limbs could have been saved with advanced treatment unavailable in Gaza due to restrictions on medical imports and patient movement. Nearly 90 percent of amputations were secondary procedures performed after infections set in. Patients often could not obtain permits to leave Gaza for specialized care abroad, transforming treatable injuries into lifelong disabilities. Survivors faced not only physical pain but also psychological trauma, unemployment, and dependence on family members in a territory with limited social support systems. Beyond the direct toll, such destruction had crippled Gaza’s economy: even before the march, unemployment among persons with disabilities had hovered around 90 percent, leaving most reliant on limited government assistance. The burden of caring for thousands of disabled individuals strained households and public services alike, while the enclave’s lone rehabilitation hospital proved insufficient for the scale of need.
Political Significance and Aftermath
Although the Great March of Return did not achieve its stated political objectives (lifting the blockade or securing recognition of the right of return), it represented one of the largest episodes of mass mobilization in Gaza since the early years of the Intifada and a rare opening for political participation outside the constraints of factional party control. Its largely civilian and inclusive character contrasted sharply with prevailing narratives that reduce Gaza to a site of armed confrontation, reasserting the role of popular resistance in Palestinian political life.
The protests also exposed the limits of international engagement. Despite extensive documentation of casualties and alleged violations of international law, external pressure failed to alter Israeli policy or significantly improve conditions on the ground. For many Palestinians, the experience reinforced a sense of abandonment by the international community, a conviction that even large-scale civilian protest could not alter the structures of blockade and occupation – a political deadlock that formed part of the background to the 7 October 2023 Hamas military operation.
Abusalim, Jehad. “The Great March of Return: An Organizer’s Perspective.” Journal of Palestine Studies47, no. 4 (2018): 90-100.
Abu-Shaban, Nafiz. “Gaza Shootings: An Orthopaedic Crisis and Mass Disability.” BMJ, 13 August 2018, k3295. https://doi.org/10.1136/bmj.k3295
Cunningham, Eric, and Hazem Balousha. “Blasted Limbs, Broken Dreams.” Washington Post, 28 April 2018. https://www.washingtonpost.com/news/world/wp/2018/04/28/feature/scores-of-palestinians-have-been-shot-in-their-legs-and-some-face-amputation/?noredirect=on&utm_term=.811437a913cb.
Glazer, Hilo. “‘42 Knees in One Day’: Israeli Snipers Open Up About Shooting Gaza Protesters.” Haaretz, 6 March 2020. https://archive.ph/Sz2yS#selection-275.0-275.77.
Godwin, Yvette, Almaqadma Ahmed, and Hammad Yousef Shaat. “A Review of the First Wave of Lower Limb Amputees from the Great March of Return in Gaza: Taking Stock and Preparing for the Task Ahead.” Injury 53, no.7 (2022): 2541–49. https://doi.org/10.1016/j.injury.2022.05.031.
al-Haq. “‘Bloody Monday’—Documentation of the Shoot-to-Kill, Egregious Killings Committed by the Israel Occupying Force (IOF) on 14 May 2018.” Alhaq.org, 26 May 2018. http://www.alhaq.org/advocacy/6196.html.
Medecins Sans Frontieres. “MSF Teams in Gaza Observe Unusually Severe and Devastating Gunshot Injuries.” Msf.Org, 19 April 2018. https://www.msf.org/palestine-msf-teams-gaza-observe-unusually-severe-and-devastating-gunshot-injuries.
Palestinian Centre for Human Rights and B’Tselem,Unwilling and Unable: Israel’s Whitewashed Investigations of the Great March of Return Protests, December 2021. https://www.btselem.org/publications/202112_unwilling_and_unable
Puar, Jasbir K., and Ghassan Abu-Sitta. “Israel Is Trying to Maim Gaza Palestinians into Silence.” Al Jazeera, 31 March 2019. https://www.aljazeera.com/opinions/2019/3/31/israel-is-trying-to-maim-gaza-palestinians-into-silence.
UNHRC. “Report of the Detailed Findings of the Independent International Commission of Inquiry on the Protests in the Occupied Palestinian Territory.” UN, 22 March 2019.
UNRWA. Gaza’s “Great March of Return,” One Year On. Amman, Jordan: Author, 2019.
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