A hospital in Barcelona performed a pioneering facial transplant in which the donor, in a world first, had offered her face for donation before undergoing an assisted dying procedure, reports Reuters.
The complex surgery involved transplanting composite tissue from the central part of the face and required the participation of around 100 professionals, including psychiatrists and immunologists, the prestigious Vall d’Hebron Hospital said.
The hospital's transplant co-ordinator, Elisabeth Navas, said the donor had showed “a level of maturity that leaves one speechless”.
“Someone who has decided to end their life dedicates one of their last wishes to a stranger and gives them a second chance of this magnitude,” Navas said.
Global leader in organ transplants
The recipient – identified only by her first name Carme – had suffered facial tissue necrosis from a bacterial infection caused by an insect bite, affecting her ability to speak, eat and see.
“When I’m looking in the mirror at home now, I’m … starting to look more like myself,” Carme told a press conference on Monday, adding her recovery was going very well.
For such cases requiring facial transplants, donor and recipient must share the same sex, blood group and have a similar head size.
With a population of 49.4m, Spain has been a global leader in organ transplants for more than three decades. In 2021, it became the fourth European Union country to legalise euthanasia.
Half of the six facial transplants ever done in Spain have been performed by Vall d’Hebron staff. The Catalan hospital also carried out the world’s first full face transplant back in 2010.
A spokesperson for the hospital declined to say the exact date of the procedure for privacy reasons, but told Reuters it took place during the autumn of 2025.
About 6 300 organ transplants were performed last year in Spain, according to Health Ministry data, with kidney transplants being the most common.
In 2024, 426 people received assistance in dying, government data show.
See more from MedicalBrief archives:
Five-year outcomes for face transplant recipients
Man recovering after ground-breaking second face transplant
Spain and Portugal should reconsider 'turning death into a medical treatment'