“For Sama,” Waad al-Kateab and Edward Watts’ searing documentary about the Syrian crisis, was named Best Documentary Feature at SXSW on March 12th. Said the judges, “This extraordinary and harrowing documentary captures an epic personal story of a mother’s love for her daughter and a wife’s love for her husband through the lens of the bloody and brutal siege of Aleppo.”

Waad al-Kateab stayed in Aleppo, where she had been a student in the fourth year of an economics degree at the university. When the rebellion against Assad’s corrupt regime broke out—much of it initially fomented by university rebels—the protesters were hopeful. Waad al-Kateab, a photo-journalist who continued filming for the duration, said, “To try to live a normal life in this place is to stand against the regime.”

Waad al-Kateab’s husband, Dr. Hamza el-Koteab, was one of only 32 physicians who chose to stay in the besieged city to care for the remaining residents; it is clear Aleppo’s remaining residents feel abandoned by the world. “We’re crying out to the world: Help us! ..But no one does anything to stop the regime.”

During the time that Waad al-Kateab spent in Aleppo across a 5-year span and during 6 months of constant bombing, she and Hamza fell in love, got married, and had their first child, Sama. The film is entitled “For Sama,” their daughter, because Waad wanted to let her daughter know what they were fighting for in staying behind long after others had fled. As Waad says, “Our new life with you felt so fragile…as fragile as our life in Aleppo.”

The family eventually ends up actually living in the hospital, but the hospital is constantly being bombed by the Assad regime with Russian air support. At one point, 8 of 9 hospitals in East Aleppo have been destroyed; Hamza’s is the only one left, seeing 300 patients a day. Waad al-Kateab and Hamza had one hospital bombed while they were out of the facility, which killed 53 people, including the doctor who delivered Waad’s daughter.

There are many heart-rending scenes of adults and children being brought to the make-shift hospital only to die there or be declared DOA. There are dead bodies literally everywhere within the hospital; one of the most ghastly scenes is of the victims of a mass execution, all of whom were civilians but showed signs of torture and had been shot in the head. Their bodies—at least 30 corpses— laid out in the street as a warning. The burial pit that forms their mass grave instantly summons memories of Nazi Germany. The scenes of the hospital being bombed evoke the “Sixty Minutes” segment that visited Aleppo hospitals while they were under fire. One heart-warming but tragic moment is of the emergency C-section of a 9-months pregnant woman. Her child is saved, with difficulty; the mother is beyond help.

Ultimately, after 6 months under siege (December, 2016) the United Nations calls Dr. Hamza, who has become a voice for the Syrian people and whose face has become known to the world saying, “If you surrender, they will spare your lives.” The couple faces a harrowing decision regarding their small daughter. The thought is this: She has a better chance of making it if they (theauthorities) don’t know that you are her parents.

Waad al-Kateab cannot leave her daughter behind, however. The couple and their neighbors, who have three children, attempt the perilous journey out of Aleppo and into exile. As they drive, sharp shooters shoot at the ambulance. Waad says, “The silence makes you feel the city is dead.” Each check-point is dangerous. Will they all make it out alive?

The bombed ruins of a once-beautiful city confirm the diagnosis that the city, along with many of its inhabitants, is dead. Waad’s husband, Dr. Hamza says that in 20 days they saw 6,000 patients and performed 890 operations.