COVID-19 pandemic has provided a new challenge to healthcare systems and medical care providers . In the current study, we describe the challenges faced and actions taken to provide optimum healthcare in Japan during the COVID-19 pandemic based on the results of a questionnaire survey that was conducted by oral and maxillofacial surgeons . A total of 24 Japanese institutions participated in the study . The first survey was conducted between June 22 , 2020 and June 26 , 2020, and the second survey was conducted between October 23 , 2020 and November 8 , 2020 . The questionnaire focused on the practical situation in the respondent ’ s hospital, personal protective equipment (PPE) availability, and what alterations had occurred compared to the situation before the COVID-19 pandemic . The commonest reported duration of restrictions to the outpatient clinic was 1–2 months . All of the institutions had lifted their restrictions on outpatient services by September 2020 . Surgical procedures in the operating room were restricted in 74% of hospitals in the first wave of the pandemic; however , 88% lifted their restrictions and restarted their regular surgical services by November 2020 . Although, non-urgent or elective procedures were delayed, surgeries for malignant tumors, maxillofacial infections, and trauma were performed at almost all hospitals during the pandemic . Health care institutions will require a new approach to maintain patient volume and recover from the pandemic . Going forward, it is also necessary to minimize the risk of exposure and transmission to health care personnel as well as patients.