Background: On March 11, 2020, WHO announced covid19 outbreak as a new pandemic. In the meantime, plastic surgeons have had postponed their elective procedures because of fair and rational allocation of medical supplies.  These limitations obliged all junior and senior residents to only operate on trauma patients and less on reconstructive ones.  Our objective is to measure the number of canceled surgeries and the effect of covid19 on plastic surgery’s training program in Iran.

Methods:  In our retrospective case-study, we considered a six-month time frame in two consecutive years, before and after the coronavirus. we evaluated number of surgeries, the type of procedure, and age and gender distribution. Our information about the training program of plastic surgery residents is derived from their logbooks. We used IBM SPSS Statistics 26 and differences were considered statistically significant if p < 0.05 in a 95% confidence interval.

Results: Our total number of surgeries decreased by 23.5% during the post-covid19 period (p value<0.05).  There was a 29.9% reduction in trauma cases, -78.9% in aesthetic surgeries, -17.7% in reconstructive surgeries, -51.8% in craniofacial surgeries, and -59.5%in microscopic surgeries for each resident

Conclusion: This study provides an insight into the severity of this pandemic effect on the training program of plastic surgery and the patients affected in this field. Reduced volume of surgeries leads to a depletion in surgical skills training. These effects will not stop immediately after the pandemic, and it remains to see whether this pandemic will have any lasting impact on this subspeciality.

Level III of evidence: Evidence obtained from well-designed cohort or case-control analytic studies, preferably from more than one center or research group.

 Keywords: COVID-19, Aesthetic Surgery, Plastic Surgery, Residency Program.