This webinar brings together experts in transplantation and organ preservation to examine emerging strategies aimed not only at mitigating ischemic injury, but at actively assessing, rehabilitating, and improving thoracic organ function during perfusion. In the heart and lung space, where transplantation continues to be challenged by donor organ availability, DCD pathways, and the growing need to safely evaluate and utilize marginal or extended-criteria organs, advances in perfusion technology are creating new opportunities to expand the donor pool and improve post-transplant outcomes. The session will explore evolving approaches to heart and lung preservation and perfusion, with a focus on how these technologies may help optimize organ quality and inform clinical decision-making prior to transplantation.