**1. Introduction**

The COVID 19 pandemic has spanned 2 years and is still ongoing, this pandemic has had significant impact on all healthcare professionals. The spectrum of its effect is vast ranging from PPE protocols for infectious diseases, training of healthcare professionals, research, burn out and the response to a never- ending global mass casualty incident (MCI). Reviewing the literature brings about many questions, some of which are answered by anecdotal evidence within our setting and some that have been published. The literature in the past 2 years with regards to covid and its effect in different settings is extensive and ever changing. We attempt to answer some pertinent questions with literature as well as anecdotal evidence from our facility. Focus is placed on PPE protocols, trauma resuscitations, MCI management, triage principles and the changing surgeon's role within the pandemic.
