Lung transplantation is accepted as an effective treatment for patients with end-stage pulmonary disease. With gaining experience worldwide and more favorable outcomes after lung transplantation, increasing numbers of pregnancies among lung transplant recipients are expected to occur. Most of the knowledge on the outcome of pregnancies in women with organ allografts is obtained from kidney recipients. However, in the literature few reports exist to support and guide obstetric management regarding outcome of pregnancy and mode of delivery after a preceding lung transplantation (1-4). To our knowledge, we describe the first case of successful spontaneous vaginal delivery near term after a single lung transplantation.