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This is an insightful perspective from surgeons working in Italy and the USA on the COVID-19 pandemic and the role of surgeons.•Surgeons have so far been side-lined to supportive roles in this crisis and the focus has been on emergency and intensive care.•Elective surgical activity has been largely cancelled and invasive investigations such as endoscopy have been abandoned. Emergency surgery is occurring as open procedures (rather than laparoscopic) where conservative management is not an option.•Re-establishment of Elective surgery wil