In response to the COVID-19 pandemic, the Centers for Disease Control and Prevention (CDC), the U.S. Surgeon General and many medical specialties such as the American College of Surgeons and the American Society of Anesthesiologists recommended interim cancelation of elective surgical procedures. Physicians and health care organizations responded appropriately and canceled non-essential cases across the country. Many patients have had their needed surgeries postponed due to the pandemic. After the first surge waned, many localities resumed essential surgeries in response to patient needs. However, the recent resurgence of the virus in many regions has many states near or at bed and ICU capacity, and healthcare facilities’ ability to meet the needs of patients presenting for essential surgery may be stressed by new influxes of COVID-19 patients. Health care organizations, physicians and nurses must remain prepared to meet the demands for patients hospitalized with COVID-19 and for patients in need of essential surgery services.