The session will be focused on both transgender donor recovery and donor eligibility assessment. I will review the various type of gender reassignment surgical procedures that may be encountered during donor recovery. I will review the transgender hormonal therapies and the potential long-term effects of these therapies on the suitability of donor tissues. I will also discuss the challenges regarding the assessment of donor eligibility. I will explore the assessment of high-risk behavior in transgender donors who have completed partial or complete gender reassignment procedures.