Just because COVID-19 happened, cancer did not stop growing. I am a urologic cancer surgeon with a focus on surgery for advanced kidney cancer. During the initial surge of COVID cases in March of 2020, I lay awake at night thinking and strategizing about how to triage cancer patients for surgery, given the limited number of operating rooms available. How could we get these patients with massive kidney cancer and tumor extension into the inferior vena cava (IVC) to the operating room urgently? These cases require urgent intervention because of the risk of the tumor breaking off, the possibility of rapid progression of acute kidney failure from tumor embolization to the renal vein, and the risk of bleeding and metastases.