en Letters to the Editor The COVID-19 pandemic has greatly  changed the routine medical practice in any field and the care delivery to lymphedema patients is not an exception. The lymphedema clinic at Motamed Cancer Institute (MCI), Tehran primarily was established for the management of breast cancer- related lymphedema (BCRL). However, it is now a referral center for different types of lymphedema from all over Iran. This letter aimed to show the impact of the coronavirus disease 2019 (COVID-19) pandemic on the lymphedema practice in the MCI lymphedema clinic. lymphedema, COVID-19, Cellulitis 1 2 http://mcijournal.com/browse.php?a_code=A-10-460-2&slc_lang=en&sid=1 Zahra Sheikhi-Mobarakeh dr.shaikhi88@gmail.com 10031947532846003184 10031947532846003184 No Quality of Life Department, Breast Cancer Research Center, Motamed Cancer Institute, ACECR, Tehran, Iran & Integrative Oncology Research Group, Breast Cancer Research Center, Mota- med Cancer Institute, ACECR, Tehran, Iran Hossein Yarmohammadi hosseinyarmohammadi98@gmail.com 10031947532846003185 10031947532846003185 No Quality of Life Department, Breast Cancer Research Center, Motamed Cancer Institute, ACECR, Tehran, Iran & Medical Students Research Committee, Shahed University, Tehran, Iran Ali Montazeri montazeri@acecr.ac.ir 10031947532846003186 10031947532846003186 Yes Population Health Research Group, Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran