NATO never had a combat mission in Syria or Iraq.
Russia, on the other hand, together with the Syrian government bombed so many hospitals in Syria that Doctors Without Borders stopped reporting the locations of their hospitals.
https://www.theguardian.com/world/2016/feb/18/msf-will-not-s...
https://www.hrw.org/news/2020/10/15/syria/russia-strategy-ta...