Grade 45 bronchus intermedius stenoses developed in a 62-year-old woman and a 55-year-old woman 3 and 2 months, respectively, after bilateral lung transplantation for COPD. Before the Oki stent placement, the first patient underwent five rigid bronchoscopy procedures for dilatation, and the second underwent one procedure. Stenting was performed according to the pulling method,1,4 allowing correct positioning in both cases. Unfortunately, the stent in the second patient was removed accidentally during a flexible bronchoscopy procedure 1 month later. Given the reoccurrence of the stenosis, a second Oki stent with a longer upper lobe arm was placed to decrease the risk of migration. Both patients experienced immediate symptom relief after stent positioning. Preoperative FEV1 was 550 mL (33% predicted) for the first patient and 740 mL (33% predicted) for the second, and it increased to 1,050 mL (48% predicted) and 1,500 mL (67% predicted), respectively, 1 week after the intervention. Five months after the procedure, no complications were observed for the first patient. Eight weeks after the second Oki stent placement, the second patient presented with sputum retention and a minimal granulomatous reaction at the distal extremity of the stent. On the basis of this preliminary experience, the new bifurcated silicone stent seems to be a promising and well-tolerated alternative for the treatment of posttransplant bronchus intermedius stenosis.