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Cardiac Transplantation has been consolidated at a world level thanks to the technological biomedicine development, as well as to the each time bigger integration of a multidisciplinary approach witch contributes to preserve the quality of life of transplant receptors, as well as to the cultural change witch goes to the legal environment for the world as a whole. The Military Central Hospital of México witch medical history includes pioneer aportations in Renal Transplant, counts with a highly trained medical personnel in cardiopulmonar transplant surgery, and a multidisciplinary team highly competitive, as well as biotechnological and vital support resources of intensive care, immunosupression, histopathology myocardial biopsies, and a so careful procuration process witch contemplates medical-legal, psychiatric, psychosocial and bioethical issues, necessary to be taken into account in order to make a successful transplantation process. The current work describes the actual knowledge on cardiac transplant and pointed out the characteristics needed by a Cardiac Transplant Center in terms of candidates selection and evaluation, procuration process, surgical technique, and immunosupression management, as well as all the various medical disciplines witch must work in line with the established requirements of the National Transplantation Center, in order to offer a quality life chance for the cardiac insufficiency patients. The Military Central Hospital of Mexico, an emblematic medical center of the Military Sanity Directorate of the Mexican Army and Air Force, counts with a human and material infrastructure to answer to the required challenge of a transplant program, as was demonstrated with the first formal cardiac procuration recently done in a promissory interinstitutional cooperation, which has gave a new life of opportunity to a receptor patient thanks to the generosity of a military donor. [ABSTRACT FROM AUTHOR]