**7. Implementation strategies**

A phased approach to program implementation is recommended. Engaging stakeholders early on, conducting feasibility studies, and garnering political and financial support are crucial first steps.

Collaborations with established transplant centers for mentorship and guidance, participation in international conferences and workshops, and leveraging existing resources are effective strategies to accelerate program development [8]. Additionally, establishing partnerships with international organizations, such as the International Society for Heart and Lung Transplantation (ISHLT), can provide valuable guidance and support throughout the implementation process.

This comprehensive overview of the requirements and logistics involved in establishing a heart transplantation program in a Middle East country. It underscores the importance of a multidisciplinary approach, legal frameworks, infrastructure, organ procurement systems, and post-transplant care for successful program implementation. By addressing these key elements, Middle East countries can enhance their healthcare systems, improve patient outcomes, and offer life-saving treatments to individuals suffering from end-stage heart.
