Vascularized Composite Allograft (VCA) Transplantation Committee Fall 2016

Policy Implementation Proposal Board Approval Implementation Date Membership Requirements for VCA Transplant Programs Established minimum training and experience requirements for key personnel June 2015 Forms pending review and approval by U.S. Office of Management and Budget List Covered Body Parts Pertaining to VCA Added the eight covered body parts (OPTN Policy 1.2) Modified training and experience requirements for primary transplant surgeons of head, neck and upper limb transplant programs to make them consistent Made non-substantive changes to Bylaws, Appendix J for style, consistency, and clarity June 2016

Approved VCA Transplant Programs* as of 7/29/2016 * Represent 26 unique transplant centers Based on most recent available information provided by members to the OPTN as of July 29, 2016. Data subject to change based on future data submission or correction.

VCA Waiting List and Transplant Numbers by Type as of 7/29/2016 VCA Type Candidates Added to Waiting List, 7/3/2014-7/29/2016 Transplants, 7/3/2014-7/29/2016 Candidates Waiting as of 7/29/2016 Abdominal Wall 4 1 Head & Neck: Craniofacial 7 3 Head & Neck: Scalp Upper Limb, Bilateral 9 2 5 Upper Limb, Unilateral 8 Other: GU - Penile Other: GU - Uterus Total 33 13 15 Based on most recent available information provided by members to the OPTN as of July 29, 2016. Data subject to change based on future data submission or correction.

Questions L. Scott Levin, M.D., FACS Chair, VCA Transplantation Committee scott.levin@uphs.upenn.edu Christopher L. Wholley, M.S.A. Policy Analyst christopher.wholley@unos.org