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Updated Appropriate Surgery During Covid Pandemic Direction, South Australia

Emergency Management (Appropriate Surgery During COVID-19 Pandemic No 5) (COVID-19) Direction 2022, comes into effect at 12:01am on 4 January 2022.

The following surgical treatments and procedures may be performed in South Australia:

  • Emergency surgery and procedures for conditions which would lead to:
    • Loss of life; or
    • Loss of limb; or
    • Permanent disability.
  • Urgent surgery and procedures for conditions where:
    • a patient would come to harm if surgery is delayed;
    • there is an increased risk of a loss of life or permanent disability if surgery or a procedure is delayed (i.e. procedures such as endoscopy, bronchoscopy, interventional radiology and cardiology).
    • for Category 1 and Category 2 surgery as defined in the ³Ô¹ÏÍøÕ¾ Guidelines (see link below).
  • Surgery and procedures undertaken in a community setting utilising local anaesthetic;
  • Dental procedures and dental surgical treatments;
  • Surgical termination of pregnancy;
  • Elective surgery and procedures outlined in Schedule 1 of the Direction (such as IVF, joint replacements, cataracts and eye procedures or screening procedures -breast, bowel and cervix screening);
  • Have an approved exemption to have surgery from either the Chief Executive of the Department for Health and Wellbeing, the South Australian Chief Public Health Officer or a deputy Chief Public Health Officer.
  • Cosmetic surgery procedures performed in a community setting

Procedures may include, for example, endoscopy, bronchoscopy, interventional radiology and cardiology.

All other procedures not addressing significant medical conditions are not to be performed.

³Ô¹ÏÍøÕ¾ Guidelines means the Australian Government, Australian Health Ministers’ Advisory Council, ³Ô¹ÏÍøÕ¾ Elective Surgery Urgency Categorisation guideline dated April, 2015:

Other existing requirements remain.

All existing directions, frequently asked questions and other information can be found here:

If you require further information you can call the SA COVID-19 Information Line on 1800 253 787 between the hours of 8am to 8pm 7 days per week or go to the SA Health website at or

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