The adverse impact that COVID-19 may have on the eating disorder population is at this stage unknown. However, there are some features that stand out and are deserving of our immediate attention. In the short term, the prevalence of COVID-19 will mean that standard treatment approaches should be re-considered. Should people who are undernourished and with cardio-vascular compromise, be admitted? Although there is some debate as to the medical risks associated with this before COVID-19, do these become more of a concern now? Will the number of admissions decrease during the pandemic? On the other hand, because of the fear of community transmission, would there be a feeling of safety with admission to an eating disorder programme, thus increasing admissions and placing an increased demand on such facilities.