Tehran University of Medical Sciences Journal of Orthopedic and Spine Trauma 2538-2330 8 1 2022 04 13 20 2 Mohammad Hossein Nabian Department of Orthopedic and Trauma Surgery, Shariati Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Amir Reza Farhoud Department of Orthopedics and Trauma Surgery, Imam Khomeini Hospital Complex, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran; Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran Reza Shahryar Kamrani Department of Orthopedic and Trauma Surgery, Shariati Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Leila Oryadi Zanjani Department of Orthopedic and Trauma Surgery, Shariati Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran 2021 09 22 2022 02 26 Background: Sanctions have always been an obstacle for development, even in health and medical topics, since they aim to reduce a country’s financial and economic power, and their impacts on medical and health systems in the objected country are inevitable. In this report, we are going to show the effect of sanctions on orthopedic surgeries in Iran. Methods: In this study, we surveyed the opinion of 32 orthopedic surgeons about the effect of sanctions on orthopedic procedures. We evaluated surgeries routinely done in our referral centers in terms of the need for equipment and facilities. Results: In upper limb surgeries, the high cost of equipment has more frequency between answers although, in lower limb surgeries, the changing method due to lack of facilities with worse results than the standard method has more frequency between answers. Both results indicate that sanctions made the feasibility of orthopedic surgeries more difficult. Conclusion: We believe that several actions are needed to take place in the current situation by the international organizations to stop this unreasonable and illogical sanction, to prevent its devastating results. https://jost.tums.ac.ir/index.php/jost/article/view/313 https://jost.tums.ac.ir/index.php/jost/article/download/313/257