I was flying in Afghanistan on a medevac mission way up in the northern mountains near Bamiyan. The illum was basically zero with about a half mile of visibility under goggles and a mile or so from the flir. I had the pilot fly a "safe altitude" giving us 500' of clearance according to Falconview and DTED. Enroute the big challenge was keeping the pilot from descending closer to the terrain he could see, since he couldn't see the big ridge line in front of us. Once we got to the scene, we had to have the guys on the ground move the patient up to some guy's front porch since we had 15' hover power, and couldn't possibly hoist him out. On short final the guy decided to turn off his porch light, so we flew the approach into a blackhole and were greeted by a 10' nose up and 10' left slope in a total brownout. After we got the patient on board, we briefed that as we were taking off the pilot would turn left 20 degrees to avoid hitting the large castle type building directly off our nose (didn't see it prior to landing). After taking off, I had to repeat the moving map PAR trick for the next 2 hours until we got into the "Qalat valley" and could proceed direct RTB.
I have a definite love-hate relationship with that country.