Madrid has been one of the world’s areas most impacted by COVID-19, with a total cumulative incidence rate in our hospital’s area of 857 confirmed cases per 100 000 population [6]. Specifically, in 12 de Octubre University Hospital at the time of the pandemic's peak, a total of 1244 hospital beds and 112 intensive care unit beds were occupied by patients with COVID-19, and more than 9000 confirmed cases of COVID-19 were treated. In this context, the thoracic surgery department was forced to change its routine surgical practice to overcome this challenge.