"To hell and back" is an idiomatic expression that originated from Christian belief systems, particularly associated with the concept of the afterlife. The phrase is often used figuratively to describe somebody or something's experience of enduring extreme hardships, adversity, or intense situations and emerging stronger or surviving the ordeal.

The phrase "to hell and back" implies a journey through the depths of suffering, comparable to the torment experienced in hell, and ultimately returning from that experience. It suggests a resilience, determination, and survival against overwhelming odds. This idiom reflects a person's ability to confront and overcome significant challenges, as well as their capacity for enduring prolonged periods of distress or hardship.

Often used in storytelling, this phrase captivatingly conveys the extent of someone's suffering and their subsequent triumphant emergence. It emphasizes the arduous journey that one has undergone and implies a depth of personal transformation. It can be applied to individuals who have conquered extreme physical, emotional, or mental trials, highlighting their tenacity and unwavering resolve.

In contemporary usage, "to hell and back" has expanded to refer not just to personal struggles, but also to intense situations in general, such as surviving a war, overcoming addiction, enduring a life-threatening illness, or persevering through highly challenging endeavors. This phrase has become a powerful way to describe the indomitable human spirit and the ability to emerge stronger after conquering great adversity.