Ukraine has achieved significant milestones in the field of organ transplantation. For the first time, a heart-lung transplant was successfully performed, marking a critical advancement in the country's medical capabilities. Additionally, groundbreaking surgeries were carried out on children, including a heart transplant on a 6-year-old and a bone marrow transplant on a 2-month-old, showcasing the progress in pediatric transplantation. Furthermore, legislative developments have been made, with President Zelenskyy signing a law prohibiting the organ removal from fallen soldiers, reflecting ethical considerations in transplantation. Financial commitments have also been bolstered, with the Ministry of Health significantly increasing its spending on transplantation. The Ukrainian government is set to fully fund bone marrow transplant procedures, eliminating the financial barrier for patients. Despite these advancements, challenges remain, as highlighted by recent arrests of illegal transplant networks. Overall, Ukraine is making strides towards improving its transplantation services while navigating ethical and legal complexities.