After the crisis, addressing the capacity issues in the healthcare system and finding solutions has been a major global concern for healthcare providers (1). Readiness to manage crises involves various dimensions, with surge capacity being a critical aspect (2). Surge capacity, as defined by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), refers to “a grouping of potential patient beds, accessible areas for triage, management, vaccination, decontamination, or general patient care; all necessary staff, medications, essential supplies and equipment, and legal capabilities needed to provide healthcare when demand suddenly and significantly exceeds normal levels” (3). Identifying alternative care sites (ACS) is crucial for crisis planning, but the idea of using stadiums’ capacity is often considered but rarely implemented due to the associated costs and the need for diverse human, material, and political resources. (4). Historical data shows that street corners, hotels, conference centers, military tents, and schools have been preferred over stadiums for handling surge capacity. (4-6). During the Covid-19 pandemic, the healthcare system’s limited capacity became apparent as the number of patients increased. (7). implemented diverse strategies like constructing hospitals and utilizing military facilities, nursing homes, ships, stadiums, and other venues (4, 8). The initial confirmed case of Covid-19 in Iran occurred on February 19, 2020, followed by additional cases in other areas shortly thereafter. (9). more than 7.6 million individuals in Iran have been infected with the virus, leading to 146,633 reported fatalities. (10). In light of the increasing Covid-19 cases at different illness stages, healthcare providers in Iran are emphasizing the use of alternative care facilities for acute, subacute, or chronic cases, and setting up vaccination centers. This study discusses experiences from setting up an 80-bed clinic providing level 3 triage services using the emergency severity index (ESI) during the Covid-19 pandemic at Neyshabur University of Medical Sciences. It also offers practical advice and insights for those involved in pandemic management.