The pandemic affects our daily routine as cardiac surgeons in multiple ways: limited intensive care unit (ICU) beds and ventilators, necessity to postpone elective and/or complex cardiac surgeries, shortage of healthcare workers, sickness of  healthcare staff and/or risk of infection of our Teams, risk of developing COVID-19 after cardiac surgery, and patients with COVID-19 needing urgent cardiac operations without having a properly organized operating room and ICU. The pandemic has hit every health system and the first bailout strategy was to maximize available ICU resources by discontinuing elective surgical activity. As Cardiac Surgeons, treating potentially life-threatening conditions on a daily basis, we seek direction from the National Cardiac Surgery Societies: nothing has been clearly stated about the triage process in severe valvular diseases. We believe that a comprehensive reorganization of our activities should be considered. Indeed, the system should aim to keep as much as ICU resources available for COVID-19 patients and at the same time, segregate the positive COVID-19 cases.