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Donated organs that require long-distance transport should arrive at the precise time and be just as viable as those donated locally. There is little room for error when transporting organs. However, with the increasing shortage of ground transportation, aircraft, staffing, and the growth and utilization of perfusion devices, transplant centers and organ procurement organizations (OPOS) are struggling to manage the matching and transport of vital organs to prevent delays, organ loses and the rising costs of transportation. In this discussion session, our panelists will share their experiences with logistical challenges, mitigating rising transport costs and financial implications, and perfusion device transportation hurdles. By sharing experiences and possible solutions, we aim to assist in developing practices to alleviate the more persistent struggles. Hosted on December 1, 2022.