Asbun, Horacio JAbu Hilal, MohammadKunzler, FilipeAsbun, DomenechBonjer, JaapConlon, KevinDemartines, NicolasFeldman, Liane SMorales-Conde, SalvadorPietrabissa, AndreaPryor, Aurora DSchlachta, Christopher MSylla, PatriciaTargarona, Eduardo MAgra, YolandaBesselink, Marc GCallery, MarkCleary, Sean PDe La Cruz, LuisEckert, PhilippeEvans, ChadHan, Ho-SeongJones, Daniel BGan, Tong JooKoch, DanielLillemoe, Keith DLomanto, DavideMarks, JeffreyMatthews, BrentMellinger, JohnMelvin, William ScottMoreno-Paquentin, EduardoNavarrete, ClaudioPawlik, Timothy MPessaux, PatrickRicciardi, WalterSchwaitzberg, StevenShah, PareshSzokol, JosephTalamini, MarkTorres, RicardoTriboldi, AlessandroUdomsawaengsup, SuthepValsecchi, FedericaVauthey, Jean-NicolasWallace, MichaelWexner, Steven DZinner, MichaelFrancis, Nader2023-02-092023-02-092021http://hdl.handle.net/10668/17232The aim of this work is to formulate recommendations based on global expert consensus to guide the surgical community on the safe resumption of surgical and endoscopic activities. The COVID-19 pandemic has caused marked disruptions in the delivery of surgical care worldwide. A thoughtful, structured approach to resuming surgical services is necessary as the impact of COVID-19 becomes better controlled. The Coronavirus Global Surgical Collaborative sought to formulate, through rigorous scientific methodology, consensus-based recommendations in collaboration with a multidisciplinary group of international experts and policymakers. Recommendations were developed following a Delphi process. Domain topics were formulated and subsequently subdivided into questions pertinent to different aspects of surgical care in the COVID-19 crisis. Forty-four experts from 15 countries across 4 continents drafted statements based on the specific questions. Anonymous Delphi voting on the statements was performed in 2 rounds, as well as in a telepresence meeting. One hundred statements were formulated across 10 domains. The statements addressed terminology, impact on procedural services, patient/staff safety, managing a backlog of surgeries, methods to restart and sustain surgical services, education, and research. Eighty-three of the statements were approved during the first round of Delphi voting, and 11 during the second round. A final telepresence meeting and discussion yielded acceptance of 5 other statements. The Delphi process resulted in 99 recommendations. These consensus statements provide expert guidance, based on scientific methodology, for the safe resumption of surgical activities during the COVID-19 pandemic.enCOVID-19ConsensusDelphi TechniqueElective Surgical ProceduresEndoscopyHumansInfection ControlInternationalityIntersectoral CollaborationTriageresearch article33630471open access10.1097/SLA.00000000000046741528-1140PMC8189258https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8189258https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8189258/pdf