Doctors at BGS Gleneagles Global Hospital, Bengaluru performed the state’s first simultaneous double lung transplant and coronary artery bypass grafting (CABG) surgery. In the past most people with coronary heart disease were not considered for a lung transplantation. Mr. Ishaq Abdel Hakim Ahmad Sharawi, a 61-year- old man from Jordan, was diagnosed with advanced interstitial lung disease with both lungs permanently fibrosed and damaged. He was evaluated for lung transplantation, but tests showed two major blocks in his heart blood vessels. Since he was deteriorating fast the team led by heart and lung transplant surgeon, Dr. Sandeep Attawar decided to undertake combined lung transplant with heart bypass surgery. He was medically optimised by a team consisting of heart failure cardiologists Dr. Ravi Kumar, Dr. Arul Narayan and transplant pulmonologists Dr. Vijil Rahulan, Dr. Apar Jindal and Dr. Sandeepa HS. On 20th February 2019 there was a donor at Sparsh hospital. The lung retrieval team led by cardiothoracic surgeon, Dr. Bhaskar B V went to Sparsh hospital and the organ was transported to BGS Gleneagles Global Hospital in record time of 20 minutes with the help of a green corridor set up by traffic police. After the transplant was completed, a vein graft was harvested from the patient’s leg and a coronary artery bypass surgery was done to bypass the two heart blocks he had. The entire surgery lasted five-and-a-half hours. A team of cardiothoracic and vascular (CTVS) surgeons including Dr. Govini Balasubramani, Dr. Bhasakar B V and Dr. Madhusudana assisted Dr. Attawar in this complex surgery. The patient recovered well and was taken off the ventilator after 24 hours and mobilised on the second day post-surgery.