 Greetings from Manipal Hospital, Department of Pulmonology, Interventional Pulmonology and Sleep Disorders. We are celebrating the organ donation week and in this context it is very appropriate that we make every possible effort to educate our patients about the importance of organ donation, about the work that is done in heart lung transplant in Manipal Hospital. India has a huge burden of various organs, more than 5 lakh liver transplant, more than double the number of that is required for renal transplant and more than 50,000 lung transplants in a year are the demands of today. A few years ago it seemed quite impossible that we could have a successful lung transplant program anywhere in India. Having said that, things have started changing in the last two years and the change has been phenomenal. Till date we have many centres that have done more than 80 to 100 lung transplants which at a point of time was not imaginable. India is a tropical country with a lot of infectious disease burden and most importantly, tuberculosis. Public health, arm like sanitation, hygiene, water were all and pollution were all a big challenge in individuals who have undergone lung transplantation. Lung amongst all the transplantable organs has the largest surface area and has a large amount of lymphatic and easy to pick up and catch bugs which we don't want to happen in a transplanted lung. At Manipal, for example, we have pulmonologists who have been trained, practiced abroad from countries like Australia. Cardiothoracic surgeons who have been specifically trained in lung transplant in Australia. We have very senior cardiothoracic surgeons who have done a lot of heart transplants. Therefore, this with the expertise that we borrow from the biggest solid organ transplant like renal transplants in India, also liver transplants. So there is a wealth of knowledge within the Manipal transplant services. Any patient who after a thorough clinical assessment has advanced lung disease and whose lifespan is going to be not more than six months without a lung transplant is the apt candidate for lung transplant. There are lots of do's and don'ts. People should not have a terminal malignancy. Ideally the age should not be more than 65. There should not be a probability of the primary problem coming back in the transplanted lung. They should not be smoking at least for a year or two before the time of transplant. More than anything else, we do have a lot of patients who come and ask for lung transplant. There is a very vigorous evaluation where we assess as a patient and the immediate relatives or attendants of the patients have understood what is the pros and cons of lung transplant. Patients may have special care, needs to avoid infection, regularity with medication and an insight into the post lung transplant scenario. Only those patients can be taken up. It is very important that we encourage and discuss and be the leaders in organ donation. This is one way to ensure that we live even after our death. Our organs do contribute. Our heart beats in somebody. Our lungs breathe in somebody. No organ should go waste. And that is the motto.