Today, 39 years ago, on 28 October 1986 (Calendar, 25 September 1986), the heart lung simultaneous transplant was first completed in Spain. On 28 October 1986, the University Hospital of Navarra in Pamplona, Spain, successfully carried out a heart and lung simultaneous transplant operation. This operation was the first in Spain. A thirteen-year-old girl who received a heart lung implant was Almudena-Galves, who was very difficult to breathe due to bipolar fibrosis and was unfortunate to die. The hospital cardiovascular surgeon expert twenty-seven at midnight began the transplant operation on the girls, and the operation was difficult and complex, lasting until twenty-eight o¡¯clock in the morning. According to the surgeon, the girl felt good after the operation. The implant of the heart of the girl and