Since its inception, the coronavirus disease 2019 (COVID-19) has proliferated rapidly, eliciting debilitating ramifications for patients, physicians, and healthcare setups alike. Due to the exorbitant infection related admissions, healthcare setups have been stretched to their horizons with a resultant depletion of essential resources. Consequently, time-sensitive decisions vouching for the prioritization of infected patients have been made, calling for unprecedented transformations in orthopedic surgical practice. Despite these significant reforms, novel guidelines surrounding the orthopedic surgical milieu remain at the epicenter of an elusive public healthcare conundrum. We hereby delineate these transformations and propose pragmatic strategies to mitigate the concomitant risks. </div