Since they could not get to Jesus because of the crowd, they dug a hole in the roof right above where he was speaking. When they got through, they lowered the mat with the paralyzed man on it.
The news about Jesus spread all over Syria, and people brought all the sick to him. They were suffering from different kinds of diseases. Some were in great pain, some had demons, some were epileptics, and some were paralyzed. Jesus healed all of them.
But because there were so many people there, they could not find a way in. So they went up on the roof and lowered the man on his mat through the ceiling into the middle of the crowd right before Jesus.