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Elaborate an updated guideline of recommendations for the safe return to elective orthopedic surgery post COVID-19 pandemic. Bibliographic review of relevant global literature. Recommendation guidelines with appropriate definitions of orthopedic elective surgery, correct contagion risk stratification for COVID-19, considerations for specific risk groups, hospital adaptations and anesthetic, intraoperative and postoperative special care for a safe restart of orthopedic elective surgery post COVID-19 pandemic. The safe restart of orthoped