A literature review was performed (see Table—Supplemental Digital Content 5, for the search strategy) to evaluate the current evidence about pancreatic surgery during the COVID-19 pandemic. Kutikov et al6 concluded that (suspected) pancreatic cancer does not allow any treatment delay and, therefore, requires immediate surgical treatment, but did not address (neo)adjuvant therapy. Patients with both COVID-19 and cancer or treated with chemotherapy/surgery in the last months seem to be at risk for severe events (ie, ICU admission requiring invasive ventilation, or death) in comparison to COVID-19 patients without cancer, according to a Chinese series.4 Therefore, Liang et al4 advised to postpone adjuvant chemotherapy or elective surgery for stable cancer in endemic areas. In contrast, Ueda et al7 emphasized that adjuvant therapy with curative intent for solid tumors should proceed, and surgery needs prioritization as well. This latter statement is supported by the Society of Surgical Oncology (SSO), stating that hepato-pancreato-biliary malignancies are typically aggressive and, therefore, should not be considered as “elective” care.11 In addition, the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and the European Association of Endoscopic Surgery recommended to postpone all elective surgery with exception of surgical care for life threatening diseases such as progressive malignancies.12 Nevertheless, the limited evidence regarding the role of pancreatic surgery in the era of the COVID-19 pandemic underlines the need for an international survey with clear statements, aiming to guide clinicians in their clinical decision-making. The statement outcomes of the present international expert survey revealed several consensus statements as well as statements that need further discussion.