With the escalation of the conflict in northern Syria, namely Idlib, international humanitarian institutions are expressing concern over delivering humanitarian aid to Syrians. According to aid and relief organizations working in Syria, the vulnerability of humanitarian access poses a direct threat to the lives of civilians. This policy brief analyzes the current state of humanitarian aid distribution operations in Syria and identifies the main problems and constraints on aid organizations. Moreover, this brief emphasizes the need to reach sustainable and realistic solutions through the involvement of all responsible actors to support humanitarian assistance operations and provide humanitarian agencies with longterm access to achieve their goals of providing relief for all civilians affected by the conflict.