Hand allotransplantation: operating room set-up and team coordination.

Vascularized composite allotransplantion requires careful planning and precise execution. The Director of the Hand Transplant Program must coordinate many personnel including nurses, anesthesiologists, transplant coordinators, surgeons, support staff, and hospital administrators. The operation is performed only after surgical rehearsal has reinforced the specialized role of each of these team members and the workflow of equipment and personnel has been optimized.