Good Clinical Practice Recommendations during the COVID-19 Pandemic In the current COVID-19 pandemic, whether to perform gynecological surgeries or not is a major dilemma that needs to be addressed. The major risks of endoscopy surgery in a possible COVID positive case would be two fold; requirement of the general anaesthesia and the endoscopic surgical procedure. The risks of the GA would be the intubation of the airway, positive pressure ventilation and aerosol particle generation. This is compounded by the head low position and increased intra-abdominal pressure due to gas insufflations of peritoneal cavity. An endoscopy procedure may need the presence of more number of personnel in the operating room. Other aspects to deal with are the instrument sterilisation of small lumen articles and telescopes as well as the difficulty of the safe evacuation of smoke generated due to energy devices and CO2. There are well-known benefits of laparoscopy over laparotomy in Gynec surgeries;