We read with great interest an insightful article by Al-Jabir et al. exploring the global disruption that has been caused by the coronavirus pandemic on various aspects of surgical practice and surgical training. In the paper, the authors also make interesting recommendations for changes to surgical practice to help minimise disruption. In this letter we endeavour to further explore the alternative modalities through which surgical practice can evolve to cope with new challenges, providing high-quality, safe and efficient patient care.