Introduction :
SARS COV-2, also known as COVID-19, first evolved in wuhan city, in china,affecting millions worldwide, On Jan. 30, 2020, the World Health Organization declared the outbreak as a public health emergency of international concern., COVID-19 in pregnancy,the outcome is not very clearly defined, this study guides for step wise approach for preparedness if an C-section is planned for COVID-19 positive pregnant patientAims and objective:• Step wise guide to prepare for C- section for COVID-19 positive pregnant patientMethods : This step wise guide has been formulated after referring guidelines from RCOG,ACOG,FOGSI, and also the SOP followed in our bowring and lady Curzon hospital.Conclusion:Step wise approach allows the surgeon and other health care workers to be adequately prepared both mentally and physically, and would enable to improved and efficient patient care .