Lung cancer following lung transplant is uncommon, with a reported incidence of 0.46% to 6.9%;2 however, the rate is higher than in the nontransplant population. Lung cancer may arise in the native lung of the single-lung transplant recipient, the donor lung after transplantation, the explanted lung of the recipient, or the donor lung diagnosed perioperatively. With the increasing number of lung transplants and their longer survival, a higher incidence of bronchogenic lung cancer can be expected in the future.