During the COVID-19 pandemic in New York City, non-essential in-person healthcare, including outpatient arthroplasty visits, transitioned to a telehealth context. With forecasts suggesting that social distancing practices will continue through the remainder of 2021 and beyond, physicians should be prepared to continue using telehealth platforms for the foreseeable future. A cross-sectional study was performed by surveying all patients undergoing telehealth visits with 8 arthroplasty surgeons at one orthopedic specialty hospital. Descriptive statistics were used to analyze baseline demographic data, prior experience with telehealth, satisfaction with the telehealth visit, and positive and negative takeaways. R was used to identify correlations between variables. 137 completed the survey. 104 (76%) patients had never had a telehealth visit before. Several positive themes emerged in our initial experience, including less anxiety and stress related to traveling (n=63;46%), feeling more at ease in a familiar environment (n=44; 32%), the ability to assess postoperative home environment (n=12; 9%), and longer visit duration (6; 4%). However, patients also cited concerns about the difficulty addressing symptoms in the absence of an in-personal exam (n=24; 18%), a decreased sense of interpersonal connection with the physician (n=18; 13%), and technical difficulties (n=8; 6%). A strong, linear association between worse interpersonal connection and overall experience was observed (R=.7). A strong association between poor image quality and a second telehealth appointment was also observed (R=.83). Overall, patients who were satisfied with their appointments were likely to continue telehealth (R=.67) while patients who found the consultation ok were less likely to continue telehealth (R=-.47). Patients were satisfied with their telehealth experience during the COVID-19 pandemic; however, we identified several areas amenable to improvement relative to standard inpatient care.