THORACIC ANESTHESIA: Edited by Albert C. Perrino, JrEx-vivo lung perfusionMoreno Garijo, Jacoboa; Roscoe, AndrewbAuthor Information aDepartment of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, Toronto, Canada bDepartment of Anaesthesiology, National Heart Centre, Singapore General Hospital, Singapore Correspondence to Jacobo Moreno Garijo, Department of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, Toronto, Canada. Tel.: +1 416 340 5164;. e-mail: firstname.lastname@example.org Current Opinion in Anaesthesiology: February 2020 - Volume 33 - Issue 1 - p 50-54 doi: 10.1097/ACO.0000000000000804 Buy Metrics Abstract Purpose of review Ex-vivo lung perfusion (EVLP) has been developed to expand the donor pool for lung transplantation recipients. The role of EVLP in organ preservation, evaluation and potential reconditioning is reviewed. Recent findings EVLP has been shown to significantly increase the utilization of donor lungs for transplantation. Evidence suggests that patient outcomes from EVLP lungs are comparable to standard procurement technique. Novel strategies are being developed to treat and recondition injured donor lungs. EVLP may also prove to be a tool for translational research of lung diseases. Summary EVLP has been shown to be an effective system to expand donor pool for lung transplantation without detriment to recipients. Future potential ex-vivo developments may further improve patient outcomes as well as increasing availability of donor organs. Copyright © 2020 YEAR Wolters Kluwer Health, Inc. All rights reserved.