Intraoperatively, the anesthesia team consisted of a consultant, senior resident, junior resident, and an anesthesia technician. All preparation for general anesthesia was performed by the anesthesia team before shifting the patient to the operation table, during intubation either the consultant or the senior resident intubated the patient donning the prescribed PPE which consisted of Association for the Advancement of Medical Instrumentation (AAMI) level III gown, hood, N95 mask, face shield, boot covers, and gloves. The junior resident or the anesthesia technician was available to assist during the procedure [8]. During intubation and extubation, the surgical team was outside the operating room to limit the number of persons inside and minimize the risk of disease transmission. After intubation, the patient was handed over to the surgical team after about 20 minutes. The surgical team consisted of the chief surgeon, senior resident, junior resident, and scrub nurse. The entire surgical team was on hydroxychloroquine (HCQ) prophylaxis as advised by the Indian council of medical research (ICMR) [9]. The entire surgical team wore the prescribed PPE - N95 mask, hood with a face shield that wraps around the face and has an extension that can be placed inside the gown, AAMI level III gown, boot cover, and gloves [8,10,11]. The surgical knife was used for dissection and electrocautery was minimally used with suction wherever required to minimize aerosol generation. Kerrison rongeur, nibblers, and osteotomes were used in place of burr or harmonic scalpel which decreased the aerosol generation [12].