This document discusses urban warfare in the Middle East and related humanitarian concerns. It notes that over 60% of people in the Middle East live in urban areas, and lists examples of past urban conflicts. Urban warfare puts a premium on deception, political/media warfare, and is preferred by some Arab forces. Fighting in cities involves dense populations, narrow streets, and challenging terrain for combatants. The presence of civilians greatly complicates urban conflicts and can be exploited by defenders, while also creating humanitarian concerns for attackers. Effective civil affairs and psychological operations are important for mitigating non-combatant impacts and achieving long-term success in urban military operations.