Right pneumonectomy was performed first, and implantation of the cadaveric lung was performed after mobilization of the entire right lung. There was major discrepancy in the size of the donor and the recipient pulmonary arteries. Because of this, the vascular anastomosis was done between the pulmonary artery of the donor and the superior segmental branch of the right main pulmonary artery of the recipient. The anastomosis was carried out with 4-0 Prolene as a continuous suture, and the remaining part of the right main pulmonary artery was stapled. The right atrial cuff of the donor was anastomosed with the atrial cuff of the recipient using the 4-0 Prolene through everting mattress continuous suture, and two intercostal tubes were inserted. Because of the long duration of the right lung implantation, which was 10 h, the left lung transplantation was deferred because of prolonged ischemic time. Later, the patient had reperfusion, and the anterior chest wall incision was closed in layers after inserting two intercostal tubes in the left hemithorax. He was transferred to the surgical ICU well sedated, on Fio2 of 100%, positive end-expiratory pressure of 5 cm H2O, tidal volume 300 mL, and respiratory rate 15 breaths/min. The weaning of Fio2 was ensued gradually.