The September Transplantation Direct issue covers a wide variety of issues in our field. Machine perfusion (MP) is represented by two studies: one where energy use is analyzed during DCD heart preparation, and a second aiming to resuscitate hearts after long periods of cold storage before transplantation. In kidney transplantation, studies are presented on the effects of robotic surgery regarding delayed graft function, risk stratification methods to predict DSA development, dialysis duration effects on outcomes after living donation, a pre-emptive MMF reduction strategy, and a study on desensitization of anti-HLA class II antibodies in the situation of living kidney donation. This issue also includes reviews in liver transplantation on intra-patient immunosuppression variability related to outcomes and the effects of donor obesity on transplant outcomes. In addition, an original article is presented on open abdominal management of complex cases in liver transplant recipients. In pediatrics, a detailed experience is provided on combined liver and heart transplantation. With COVID still in our midst, this issue includes a large center experience with COVID in lung transplant recipients, and we have another report on recent era post-acute sequelae after Omicron-type infections. For transplant programs, there is an article on the use of a 3-Dimensional Trainer to train transplant surgeons. On the topic of organ donation, data is presented on Asian American attitudes to organ donation (resulting in an educational video output) and on Aboriginal and Torres Strait Islander views towards transplantation. We welcome you to visit our open-access Transplantation Direct website for full details on these and other articles.