In 2017, as the Tubbs Fire made its dramatic and rapid assault on Santa Rosa, California, our doctors, nurses, and support staff faced the unimaginable task of evacuating the hospital. It was a job that many, if not most, of them never imagined doing in their careers. And yet, again this fall, wildfire threatened the facility. As the Kincade Fire made a slower — though no less deliberate — approach, our staff again halted surgeries, labor deliveries, and more and packed up patients. Both times we safely evacuated more than 120 patients and ensured care continuity under extreme duress.