Introduction: to investigate emergent surgical procedures in patients with COVID-19 between 19^th February and 10^th April 2020. Methods: Retrospectively reviewed the clinical records of all patients who underwent emergent and urgent surgical procedures during the period of COVID-19 at Loghman Medical Center, Tehran, Iran. The suspected patients of COVID-19 were tested using chest CT-scan and reverse transcription-polymerase chain reaction (RT-PCR). Laboratory-Confirmed COVID-19 patients and patients with typical manifestations in CT-scan were thoroughly reviewed. The mortality rate, the need for intensive care unit, and morbidity of the patients were analyzed. Survivors and non-survivors were compared in terms of age, sex, and laboratory data. Results: Eighty-one patients underwent emergent and urgent surgical procedures within the study periods. Nineteen patients were suspicious of COVID-19 either before or after surgical procedures during the study period. Five out of 11 patients of confirmed COVID-19 died during the study period. Nine of 11 of patients needed ICU care. Conclusion: The mortality rate of emergency surgical procedures in patients with corona is estimated to be high during the COVID-19 pandemic. Regardless of COVID-19 symptoms, close postoperative monitoring of the operated patients is recommended. Standardized procedure of anesthesia and surgery for patients with or without COVID-19 infection requiring to minimize the risk of virus spread and reduce injury to patients and staff.