From July 25 through to July 26, 2008, after many years of preparation, the world-wide first transplantation of complete arms was carried out at the Klinikum rechts der Isar, Technische Universität München. The patient is as well as can be expected under the circumstances. The Clinic for Plastic Surgery and Hand Surgery (head: Hans-Günther Machens) was responsible for the operation. The operation in which a team of 40 members participated was headed by Christoph Höhnke (head of the transplantation team) and Edgar Biemer (former long-standing head of the Department for Plastic Surgery).