Introduction: The face-to-face directly observed treatment (DOT) of multi drug resistant tuberculosis (MDRTB) was constrained by the implementation of community lockdowns and travel restrictions to contain the Severe Acute Respiratory Syndrome Corona Virus-2 (SARS CoV-2). The pandemic resulted in disruptions of the usual operations in almost all sectors of the Philippines. The development of a new strategy like video telephony technology in healthcare have raised the remote video-observed treatment (VOT) as an alternative approach to DOT for monitoring. The utilization of this new strategy in our present setting in Cebu City, Philippines has to be explored yet. Objective: To assess and determine the patient’s satisfaction on the utilization of VOT among MDR Tuberculosis patients in the time of COVID 19 pandemic at the PMDT – VSMMC from May 2022-July 2022. Methods: A purposive sampling method was utilized involving the enrolled patients at PMDT STC. The patient satisfaction with VOT was measured using survey questionnaires from the study of Sekandi et al., (2020). Design: The study design used in this research were both descriptive and analytical cross-sectional study during the COVID-19 pandemic within the time period of May 2022 to July 2022). Results: Among the 45 respondents, 95.6 % were satisfied with the mode of therapy and 4.4 % were not. Most of the patients, 55.6%, recommend the VOT in the management of MDRTB. The Fisher’s Exact Test showed that there were no significant associations existing among the different demographic parameters. Conclusions: Video Observed therapy is an acceptable method of monitoring among patients receiving MDRTB treatment in VSMMC, wherein the respondents of the study were satisfied with this mode of therapy and recommends its use. This innovative mode of treatment can be used in a pandemic period wherein lockdowns or travel restrictions interfere with DOT.