This document provides an overview of the National Trust for Historic Preservation's work in New Orleans after Hurricane Katrina, focusing on challenges integrating historic preservation into disaster recovery efforts. Some key issues discussed include proposed demolitions of historic buildings like Charity Hospital, challenges navigating regulatory processes like Section 106 reviews, and balancing recovery needs with preservation of historic character. Alternatives to the proposed new VA and LSU hospital campuses that would have demolished many historic structures were presented, but the proposed plans moved forward despite preservationist objections.