The success of kidney transplantation performed by Joseph Murray in 1954 and 1961 motivated vascularized composite transplants such as the hand. Thus, the first hand transplant was performed in Ecuador in 1964, however without success. It was until September 1998 that the surgical team from the city of Lyon, France performed the first successful hand transplant, followed by the surgical team from Louisville Kentucky, USA, (January 1999) starting the modern era of VCA. The results obtained in the different vascularized composite transplants have driven the expansion of these around the world.
However, we still have many unsolved questions. The aforementioned will be analyzed during the 15th ISVCA meeting, which for the first time will be held in Latin America.