Ronald A. Navarro, MD, Regional Coordinating Chief of Orthopaedic Surgery, Southern California Permanente Medical Group, and President of the California Orthopaedic Association discusses the role of orthopaedic surgeons during the COVID-19 pandemic. Who decides what are “elective” versus timely surgeries? Should orthopods be repurposed for other duties in their health systems? And if so, how? How should private practices balance health concerns with both the need to provide care and keep their business solvent? Finally, what will be the fallout after the pandemic is over and how will we ramp back up?