Technological innovation is most elegant when it serves to facilitate. As I write this, my 2 oldest children sit at a desk in my home being tutored in math by a man on the other side of town. Ahh, the wonders of Zoom, Skype, and so on, and their ability to allow for my boys to advance their mathematical knowledge. Incidentally, did you know that when Sir Isaac Newton was sent home from Cambridge to the family estate during the Great Plague of London in 1665 (in that previous era of "social distancing"), he essentially developed the foundation for calculus? I can assure you that is not happening at my "estate."In the report by Lee and colleagues, 1 they have recounted their experience in performing bilateral lung transplantation in 2 patients with Kartagener syndrome. One fundamental key to their intraoperative success was their use of the 3dimensional reconstruction of each patient's pulmonary arterial anatomy to assist in operative planning. As they clearly stated, understanding the anatomy before transplantation was fundamental to achieving an optimal outcome. Thus, the advances in technology facilitated a concrete understanding of an atypical situation and produced positive results.Certainly, when it comes to performing transplantation in these rare patients, an appreciation of the variability in the pulmonary artery anatomy is a necessity preoperatively. Intraoperatively, this requires that dissection be undertaken with this variability in mind such that the length of the recipient pulmonary artery is maximized. Back table preparation must also emphasize preserving as much of the