The novel ‘COVID- 19’ infection spread at a rapid pace globally and disrupted the normal functioning of the human beings. The health care specialists need to adapt to the situation to treat the patients with ‘COVID-19’ as well as avoid long delays in the treatment of ‘non-COVID’ patients. The delay in treatment and surgeries for debilitating benign and malignant diseases in ‘nonCOVID’ patients might lead to more harm to a patient than COVID itself. The demands need to be met keeping in mind the limited resources in the hospital. India has been one of the worst hit countries by the ‘COVID-19’pandemic. There were still, 67,708 new cases as on 15th October, 2020. Although the number of cases might be declining, the absolute number is still quite high. The ‘COVID-19 ‘virus is now omnipresent and we should find ways to live with the virus with adequate precautions rather locking down the routine services. ‘COVID-19’ and the effect it has on the functioning of medical services can be best managed in a tertiary care hospital with adequate resources with a multidisciplinary team approach. The problems faced are the separation of ‘COVID-19’ positive patients from other patients, shortage of Personal Protective Equipment Kit (PPE Kit) and lack of hospital staff for routine services. A government tertiary care hospital can best manage these challenges. The emergency department is a challenge for management because the medical service for the patients could not be delayed while waiting for the COVID report. Proper PPEs should be used and any patient who turns positive for ‘COVID-19’ should be shifted directly to a ‘COVID-19’ care facility. This would minimize the spread of ‘COVID-19’ to rest of the hospital and maintain segregation of the patients.