Severe acute respiratory syndrome coronavirus 2 emerged from the city of Wuhan, Hubei province of China in December 2019 and swarm over the world proclaiming pandemic in March 2020 by the World Health Organization as COVID-19. In order to minimize the infection as well as transmission of infection, globally social lockdown was introduced along with prioritizing the health care services. All the health care services were mainly focused on mitigating COVID impact and halting the elective operations. However, cardiac and aorto-vascular disease had a rapid progression and high mortality rate which obligate early intervention. Also, cardiac patients are high risk patient on whom the covid impact is more and cardiac operation involves exceptionally high exposure to health care personals. The authors emphasize the precautionary and safety measures to be followed in the cardiac operating room concerning covid outbreak.