**1. Introduction**

We believe that procurement is 50% of the transplant operation and deserves due emphasis. Often times it is assigned to a junior member of the team and consequently impacts the outcome due to the learning curve involved. We have put together our experience to serve as a road-map to help improve the art and science of procuring thoracic organs for transplantation [1].

In the first section of this chapter we will focus primarily on DBD, which is the commoner of these two or at times referred to as 'standard procurement.' We will expound on Heart, Lung/s and combined Heart-Lung procurement.
