Despite the fact that the first successful lung transplant was performed only 27 years ago, a multitude of changes involving surgical technique, organ preservation, and patient care validates Liu and colleagues' analysis of the UNOS lung transplant database. Noting the limitations of the database, Liu and colleagues found a survival benefit for all patients regardless of race, which was based on the implementation of the Lung Allocation Score. More important, the survival gap that existed between white and other ethnic groups has been eliminated in the past 10 years.