Vascularized Composite Allografts (VCAs) were included in the OPTN Final Rule (42 CFR part 121) as covered human organs effective July 3, 2014. In response to this change, the OPTN Board of Directors approved minimal VCA membership requirements that will expire on September 1, 2015. Under the current rules, there are no specific membership requirements with regard to VCA transplant experience for the primary physician and surgeon at a VCA program. The VCA Committee is proposing minimal certification, training, and experience for individuals serving as VCA primary physicians and surgeons. If approved, these new requirements will replace those requirements that will expire in September 2015.