Purpose: This study aims to survey Middle Atlantic Society Orthodontists on how COVID-19 has impacted and altered their practices and outlook on the profession. Methods: This cross-sectional study was designed using Qualtrics XM and consisted of 20 questions focusing on the licensed orthodontists in the MASO regions. Results: Responders had split feelings regarding the length of time out of practice due to regulations. Nearly 48% felt that it was too long, while about 49% felt that it was appropriate. During this time, over 32% have offered more aligner therapy but roughly 51% have seen a reduction in patients. Regardless, over 61% do not believe retirement plans have been affected. Conclusion: A meaningful difference in perspectives exists amongst MASO orthodontists regarding COVID-19 regulations and infection control. Treatment philosophy appears to be shifting towards clear aligner therapy and tele-dentistry. Despite the disruption to the profession, most orthodontists feel hopeful for the future.