Historically transplant centers and OPOs have had a tumultuous relationship working against each other instead of towards to same common goal of getting patients off the transplant list and supporting donor families. This talk will discuss this relationship as well as proven strategies to help improve communication, collaboration, and collegiality. In the past two years Cedars Sinai and Lifesharing have actively worked on their collaboration, which has resulted in numerous successes that would have been impossible without being aware of each other’s needs.