<p dir="ltr">The COVID-19 pandemic affected hospitals worldwide, including diagnostic radiology departments. Operational management of radiography services in diagnostic radiology departments had to be adjusted to ensure the safe delivery of services to patients and to protect employees. Diagnostic radiography middle managers are responsible for the strategic planning and implementation of radiography services, providing leadership and collaborating with multidisciplinary teams to ensure that services align with the goals and objectives of the organisation. After the World Health Organisation declared the onset of the COVID-19 pandemic in March 2020, the diagnostic radiography department in this study, like other imaging departments in hospitals, had to adapt to the new public health guidelines and service delivery protocols. This study aimed to explore and describe the experiences of diagnostic radiography middle managers working at a private radiology practice during the COVID-19 pandemic. </p><p dir="ltr">Semi-structured interviews with diagnostic radiography middle managers working at various branches of a private radiology practice were conducted using the Zoom Communications Inc. online platform. Permission from the managing committee of the radiology practice was sought and obtained before data collection began. Participants voluntarily consented to participate. Additionally, ethical principles such as confidentiality and anonymity were maintained. Data was analysed using thematic analysis, with data being managed in compliance with the University’s established data management protocols.</p><p><br></p>