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In countries where religious doctrine does not allow for gestational surrogacy, the possibility of a uterus transplantation could be attractive to a woman without a uterus who desires children. On April 6, 2000, these Saudi Arabian researchers performed the first human uterus transplant. The recipient, aged 26, had a hysterectomy at age 20 after a postpartum hemorrhage. The donor, aged 46, had a hysterectomy and bilateral salpingo-oophorectomy because of multiloculated ovarian cysts. The transplantation occurred shortly after the uterus was removed from the donor.
The uterus was connected to the recipient's vaginal vault and fixated by shortening the uterosacral ligaments. The uterine arteries and veins were extended using reversed segments …