In June 2020, the German police arrested Alaa M, who has since been held in detention awaiting trial. The reason: strong suspicion of complicity in crimes against humanity committed by the Syrian regime since 2011. Approximately one year after his arrest, the Federal Prosecutor’s Office announced that it had filed charges against M, a former Syrian doctor who allegedly tortured, killed and sexually abused people in military hospitals.

In January 2022, the trial against Alaa M began in the Frankfurt Higher Regional Court, with an ECCHR partner lawyer representing a joint plaintiff. Just one week earlier, former Syrian officer Anwar R had been sentenced to life in prison for crimes against humanity in the world’s first trial on state torture in Syria, in which ECCHR supported torture survivors.

After three and a half years of intensive evidentiary proceedings, the Frankfurt Higher Regional Court sentenced Alaa M. to life imprisonment in June 2025 for war crimes and crimes against humanity, and also imposed subsequent preventive detention – due to the particular severity of his crimes.

Alaa M participated in sexual violence and the torture and killing of Syrian civilians while working as a doctor in the military hospital No. 608 in Homs, in the notorious military hospital Mezzeh No. 601 in Damascus – where the so-called Caesar photos were taken – and in the prison of Branch 261 of the Military Intelligence Services in Homs. Over the course of 186 days of hearings, more than 50 witnesses and numerous experts were heard. Their testimonies provided a comprehensive picture of the role of Syrian military hospitals in the Assad regime's system of torture, as well as the systematic attack on the civilian population and the violent suppression of protests in Homs, particularly in the Baba Amr district.

This case clearly demonstrates that the systematic violence of the Syrian regime against the civilian population does not only take place within detention facilities. Evidence of the role of military hospitals in Syrian President Bashar al-Assad’s apparatus of injustice was initially provided by the Caesar photos: the images, taken by a Syrian military photographer who defected and then brought them out of the country, reveal thousands of corpses, often with obvious signs of torture. A large portion of the photographs were proven to have been taken in military hospitals within and in the vicinity of Damascus, and they already played a significant role in the so-called al-Khatib trial.

Germany has assumed a pioneering role in addressing such crimes at least since the start of the al-Khatib proceedings in the Koblenz Higher Regional Court. In addition, German law enforcement authorities issued an arrest warrant for ex-Air Force Intelligence chief Jamil Hassan. The German authorities have succeeded in handling these highly complex cases in part through so-called structural investigation procedures, to which many Syrian survivors, activists, lawyers and organizations such as ECCHR have also contributed. In addition, Germany applies the principle of universal jurisdiction, according to which the most serious crimes against humanity can be prosecuted even when they have no direct connection to Germany.

In total, ECCHR has filed seven criminal complaints concerning the crimes of the Assad regime with investigative authorities in Germany, Sweden, Norway and Austria.