 The National Clinical Database, NCD, of Japan has been collecting data on gastrointestinal surgeries since 2011. Over the past decade, the number of surgeries has steadily increased, with the exception of 2020 due to the COVID-19 pandemic. Additionally, the average age of patients undergoing gastrointestinal surgeries has risen over time, with more than 20 percent of surgeries performed in 2020 involving patients aged 80 years or older. Furthermore, the rate of endoscopic surgeries has increased significantly, while the incidence of postoperative complications and mortality have remained relatively stable. These findings suggest that the quality of care provided by Japanese gastrointestinal surgeons remains high despite the challenges posed by the COVID-19 pandemic. This article is authored by Yashiki Kajawara, Erida Takahashi, Hideki Weno, and others. We are article.tv, links in the description below.