Organ transplantation, the surgical removal of a healthy organ from one person and its transplantation into another person whose organ has failed or was injured -- is often lifesaving and gives the recipient a wonderful new lease on life.

Transplant surgery is where an organ in your body is replaced with an organ from a donor. Transplant surgery for pulmonary hypertension (PH) can involve replacing the heart and lungs, or just the lungs. It is more common in children than in adults, but is rarely used these days. This is largely due to the availability of effective drugs for PH.

Transplant surgery is not suitable for everyone with PH. If your PH team think your quality of life and life expectancy will be improved by transplant surgery, you will be carefully assessed. Factors that are considered in this assessment include: age, life expectancy, other diseases that you may have, psychological state and lifestyle.

Kidney transplants are the most common type of transplant surgery; the least common single-organ transplants are the intestines. Depending on the organ needed, organs are matched using several characteristics, including blood type and size of the organ needed. Also taken into account is how long someone has been on the waiting list, how sick they are, and the distance between the donor and the potential recipient.

Risks and benefits of transplant surgery

Transplant surgery is a high-risk operation. These risks can include surgical complications, organ rejection and infection. Once you have had a transplant you will be under the care of an expert team for the rest of your life.

Transplant surgery can improve quality of life and life expectancy in a small number of people with PH. Your PH team will talk you through the pros and cons of the operation.

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