Who is able to have a lung transplant?


A lung transplant is an option for some patients with end-stage respiratory failure, but sadly it is not suitable for all patients with chronic lung disease

Key points

  • A lung transplant is a major operation
  • It is a treatment option for some patients with end-stage respiratory failure
  • Not all patients with end-stage lung failure are suitable for lung transplantation
  • Your lung doctor and transplant team have to be confident that you are likely to benefit from a lung transplant
  • Other treatments may be better for some patients

Who can have a lung transplant?

A lung transplant is an option for some patients with end-stage respiratory failure who have not responded to other medical treatments. 

There are many different causes of lung disease that might lead to needing a lung transplant. Common causes include: idiopathic pulmonary fibrosis, cystic fibrosis, chronic obstructive pulmonary disease and pulmonary hypertension.

To be able to have a lung transplant, your doctor must believe that the transplant has a good chance of success.

Why a lung transplant might not be your best option

A lung transplant has lots of advantages but it also has disadvantages, which may make it too risky for some patients.

The main disadvantages are:

  • A lung transplant is a major operation lasting 6-8 hours
  • The surgery can place a strain on your organs
  • You have to take powerful immunosuppressant medicines afterwards, which can lead to other serious medical problems
  • Some patients experience psychological difficulties afterwards

Learn more about the risks of a lung transplant

Reasons why you might not be able to have a lung transplant

Common reasons why a lung transplant may not be the right treatment for you include:

  • You are too ill or frail to cope with the surgery and aftercare
  • You have recently had cancer, a serious infection, a heart attack or a stroke
  • You may struggle taking the immunosuppressant medicines after a lung transplant

Other treatment options

For you to be suitable for a lung transplant the benefits must outweigh the risks. If your lung doctor feels a transplant is too risky, they might advise other treatments instead.

Learn about alternative treatments to a lung transplant

Discuss your options with your doctor

Speak to your lung team to find out what treatment is best for you.

More information



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