On September 11 and in the days immediately following the terrorist attacks on the World Trade Centre and the Pentagon, air travel in the US came to a grinding halt. While rescue efforts continued in New York and Washington, the transplant community faced its own challenge in transporting donated life-saving organs to anxious patients located throughout the US. According to Jerry Truscott, MD United Network for organ Sharing (UNOS) President, the greatest impact on the transplant system occurred on September 11. A few hospitals accepting trauma patients from the affected areas were forced to interrupt transplant services for a few hours, and some scheduled living donor transplants were postponed due to concerns over blood supply. On a larger scale, the shutdown of all commercial air travel disrupted the ability to transport donated organs that under normal circumstances would have been sent to more distant hospitals for transplantation. Working within the constraints of non-availability of air travel to transport organs, UNOS issued a statement to the nation’s organ procurement organizations (OPOs) to “make reasonable efforts to place organs in accordance with established allocation policy”. UNOS, however, emphasized that should lack of transportation make such placements “unfeasible”, organs were to be placed within their local or regional areas. Things started looking up sooner than anticipated with the Federal Aviation Administration (FAA) allowing charter flights to transport organs for transplantation from 12^th September. 24 organs were delivered following the FAA’s clearance.