The ISGE is privileged to enjoy patronage of members from around the globe. Countries affiliated with us are experiencing different stages of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, for example, South Africa is in the early stages while other countries such as China and Italy have passed their peak and plateau phases. Given the uncertainty of immunity and new emerging strains, caution must be practiced to ensure the safety of all health care providers. The ISGE is proud to be a global leader in this regard and we are pleased to provide relevant guidelines on practicing minimal access surgery during this dynamic time and in the period of evolving back to normality. As emerging evidence becomes available, this guideline will be updated.