Asia’s first known bilateral sequential lung transplant on a patient whose lungs were severely destroyed by COVID-19 was performed on 27th August 2020 at MGM Healthcare, Chennai. The 48-year-old male had contracted COVID-19 pneumonia not responding to standard line of care. He was mechanically ventilated for nonresolving pneumonia at Gurgaon and referred for lung transplant after developing pneumothorax and pneumomediastinum. The patient was airlifted to MGM Healthcare, Chennai and electively initiated on ECMO (extracorporeal membrane oxygenation) due to high peak airway pressure and air leak. He received a matched donor after 33 days on ECMO and underwent the bilateral lung transplant that was performed by Dr. K. R. Balakrishnan, Chairman & Director of Cardiac Sciences and Director of the Heart and Lung Transplant Programme and his team. Post-surgery, the patient was haemodynamically stable with normal oxygenation parameters, without ECMO support. According to Dr. Apar Jindal, Clinical Director & Consultant, Lung Transplant, Interventional Pulmonology & Chest Medicine at MGM Healthcare lung transplant could well be the answer to many COVID-19 survivors in whom fibrosis of the lungs was making them a chronic respiratory cripple.