**5. Conclusion**

Multi-organ procurement is essential for organ transplantation, and proper training is mandatory. It usually involves a few transplant units for organ allocation prior to confirmation of the surgical time. The communication between all parties is very important to minimize the ischemic time and achieve the good outcome for organ transplantation. It should be bore in mind that the anatomical variation may be encountered during the surgery, and care must be taken to avoid any damage to the vessels and organs, which may jeopardize the organ transplantation. Establishment of a surgical protocol is encouraged to achieve a national-wide standard and consistence for organ sharing among the transplant units.
