The coronavirus disease 2019 (COVID-19) impacts surgical flow and work practices in the operating theatre (OT). Since the first case of COVID-19 was reported in Australia on 25 January 20206 to 6 September, DHHS infection control guidelines were updated five times.3 During this time, the University Hospital Geelong (UHG) updated their perioperative COVID-19 guidelines six times, whilst Epworth Geelong (EG) and St John of God (SJOG) private hospitals changed theirs 10 and eight times, respectively. Did operating theatre staff understand the COVID-19 guidelines for surgery during Victoria's second wave?. [Extracted from the article]