 This case study provides insight into the safe management of a COVID-19 patient during a laparotomy procedure. The patient was successfully transported from the ICU to the Orwell wearing personal protective equipment. Additionally, high-efficiency particulate absorbing filters were used on the anesthesia machines and portable ventilators to reduce the risk of exposure to the virus. Despite these precautions, the patients succumbed to pneumonia. This article was authored by Song Soo Lee, Ji Hyun Park, Gun Hee Kim, and others.