We would like to take this as an opportunity to present and discuss the current status of Vascularized Composite Allotransplantation (VCA) in the field of plastic surgery and the importance of extracorporeal tissue perfusion as a strategy for improved tissue preservation in future surgery. Several national and international speakers will present their views and experiences on the current status and future concepts in this field. Simultaneously, we would like to look back, together with our bilateral hand transplantation patient, on our successful surgical procedure. The content of the symposium is aimed at plastic surgeons, residents in plastic surgery, transplant surgeons, all employees who have participated in our hand transplantation program, and other colleagues interested in VCA. There will be room for discussion and questions from the virtually attending audience, and accreditation has been arranged. The symposium will be followed by the defence of the PhD thesis of Anne Sophie Kruit, entitled ‘Extracorporeal perfusion for prolonged preservation of muscle flaps and limbs’, the next day on Friday September 24th at 12:30, which can also be attended online.