This article argues for a shift in the conceptualisation of child trauma recovery programme efficacy studies in occupied Palestine. Nearly all prevalence and programme evaluation studies in Palestine focus on current traumatic events and resultant symptoms, especially post-traumatic stress disorder. To date, no child trauma recovery programme has been evaluated from an intergenerational trauma perspective. Where intergenerational trauma has been explored in the literature, this has been at a conceptual rather than empirical level. In response to this omission, the current article explores intergenerational trauma as a conceptual framework for evaluative research into child trauma recovery programme efficacy in occupied Palestine. Following a review of the intergenerational trauma literature within and beyond Palestine, a framework for evaluation is developed, which includes: historical trauma; collective and individual loss; current-day traumatisation; micro-aggressions; resultant symptoms; and the transmission of intergenerational trauma. Recommendations are provided for future research, practice and policy development in Palestine and beyond.