Going through the euphoria of false victory due to herd immunity by the beginning of 2021, India stepped into the critical stage after the emergence of new strains of coronavirus disease-2019 (COVID-19). With more than 20.2 million cases being reported, a rolling average of 4,12,262 cases daily, and death tolls crossing 3,980 per day, hospitals and health workers are overwhelmed and exhausted across the country. With the virus spreading to 220 countries extensively, the human toll in India after the second wave is surely more than double the number of humans killed over 320 natural disasters during the recent two decades. COVID-19 pandemic has created the largest disruption in the social, political, and educational system in history till date. During such time of crisis, our dedicated obstetricians are facing some unique challenges during patient care in the COVID wards and operation theaters. This article highlights these major challenges faced in lower-middle income countries (LMI) of South Asia. It is a tribute to all the hard-working obstetricians who are trying their best to give maximum patient care despite the difficult working environments.