T he Annals of Surgery has recently accepted a paper for publication titled ''Lung Transplantation for Elderly Patients With End-stage COVID-19 Pneumonia'' authored by Dr. Han Weili et al. 1 We are surprised that this article was accepted for a number of reasons. Although COVID-19 is an urgent medical subject, we believe it should not result in lowering requirements of authors and bypassing ethical standards. Quality of academic submissions, due process in medical research, and clearly defined ethical considerations must not be sidelined despite the urgency the medical profession is facing. COVID-19 must not be accepted as a reason to normalize unethical practices.Thepaperraisesseriousethicalconcerns regarding organ procurement and publication standards. First, given the ongoing concerns LETTERS TO THE EDITOR