To the Editor:Coronavirus disease (COVID-19) is a contagious disease caused by the novel severe acute respiratory syndrome coronavirus 2, which spread to approximately 200 countries with 5 451 532 confirmed cases and 345 752 confirmed deaths as of May 27, 2020 [1]. The virus spreads among individuals through respiratory droplets. In regard to surgery, aerosols, feces, blood, and peritoneal fluid have also been reported as potential vectors for virus transmission [2].It has been suggested that minimally invasive surgeries other than emergency and cancer cases should be postponed because of the risk of virus spread and that laparotomy should be preferred to reduce the possibility of increased virus transmission through the plumes of aerosolized smoke and contamination by body fluids, during tissue extraction through small incisions [3].In regard to these concerns, leading societies have published recommendations including triage testing, reducing the number of medical staff in the operating room, reducing incisions, lowering electrosurgery power settings, and suctioning the aerosolized smoke or steam plumes with a closed filtration system [3].A recent study has reported that vaginal fluid is negative for the COVID-19 virus [4]. This environment has highlighted the importance of conventional vaginal surgeries (VS) and vaginal natural orifice transluminal endoscopic surgery (vNOTES), which eliminate the possible risk of aerosol- and tissue extraction–associated transmission that could be observed in conventional laparoscopy. vNOTES is a promising “rescue” approach for conventional VS, especially in the management of large adnexal masses [5]. It allows masses to be extracted through a large colpotomy incision. In addition, both conventional VS and vNOTES have a shorter duration of surgery, a shorter hospital stay, and a better postoperative pain score than conventional laparoscopy [5].In conclusion, in the COVID-19 pandemic period, conventional VS or vNOTES can be considered safe alternatives to traditional laparoscopy and laparotomy to reduce potential surgery-related risks of infection.