**1. Introduction**

Organ transplantation from deceased donor is the standard technique for treatment of so many diseases which is totally incurable without such complicated surgeries. A deceased donor has multiple solid organs that may be used for transplantation and multidisciplinary approach and delicate coordination between different medical and surgical teams is needed to ensure that these organs are fully functional after retrieval. Heart, lungs, liver, kidneys, pancreas and small bowel are among the most important organs that should be harvested at the same time from one donor and each surgeon who is in charge of such a complicated surgery should be familiar with at least basic techniques of other organs retrieval to prevent any harm to sensitive anatomic components of each organ especially those which are in common between two nearby organs, for example portal vein and celiac trunk (liver and pancreas), abdominal inferior vena cava (liver and kidneys), superior

mesenteric artery and vein (pancreas and small intestine), supra-diaphragmatic inferior vena cava (heart and liver), pulmonary artery and veins (heart and lungs). Chairman of the team should be the most expert surgeon who has the longest experience with all aspects of multiorgan procurement surgery. In this chapter we will be discuss the basic aspects of surgical techniques which every transplant surgeon has to know about such an important procedure.
