Abstract
Lung transplantation remains a life-saving procedure for patients with end-stage pulmonary disease. However, anatomical variations in the lung lobes, whether more or less than that normally described, present uncommon surgical and postoperative challenges in lung transplantation. This report presents a unique case of a four-lobed right lung and a three-lobed left lung encountered during organ retrieval, highlighting the complexities faced during transplantation as well as potential pitfalls during the surgery and subsequent postoperative follow-up care.