ackground: During the pandemic of COVID-19, the overwhelm of infected patients created an exponential surge for ICU and ward beds . As a result, a major proportion of elective surgeries was postponed . However, various emergency and urgent procedures were allowed . Due to the mortality complications of hepatopancreatobiliary issues, we decided to afford urgent procedures under intensive protective arrangements . Method and results: In our ward (liver transplant), 4 ICU beds and 16 ward beds were allocated to non-COVID-19 patients . A total of 36 hepatopancreatobiliary procedures were managed for one month . All the surgeries were afforded under personal protective equipment and other intensive protective arrangements for personnel and patients . During 6 weeks following the surgery, all patients were followed up through telemedicine and no new case of COVID-19 was detected . Conclusion: In general, it appears that intensive protections could significantly reduce the number of COVID-19 incidence among patients with co-morbidities who undergo invasive procedures.