1.1. Purpose: The COVID-19 pandemic has produced an unprecedented global crisis. The need to cope with the emergency has led to a radical reorganization of the health system and resulted in changes in both medical and surgical activities, which in turn reduced the learning opportunities for Ear, Nose and Throat (ENT) residents. During this year various strategies have been proposed to maintain residents' learning curve and to ensure the continuity of training. However, the sharp reduction in the number of surgical activities has led to an unbridgeable deficit in learning practical part of our discipline. This document aims to report the impact of the COVID-19 outbreak on ENT surgical learning activity, in Lombardy (Italy), during COVID-19 pandemic.