The worlds' first successful heart transplant by Christian Barnard in 1967 was from a DCD donor, as brain stem testing had not been recognized. With the introduction of brain stem testing, all heart transplants were taken from donors with neurologically declared brain death (DND or DBD donors). Heart donor rates have not increased over they years to match the increasing candidates for heart transplantation and many patients still die on the waiting list. Heart transpklantation utilizing organs recovered from donors declared dead on the basis of circulatory criteria has gained renewed interest globally because of this critical shortage of donor organs. Concerns around the suitability of these organs remain, stimulating the development of protocols that allow assessment of functional recovery prior to implant. Several programs in Europe and Australie have initiated clinical DCD heart transplant programs, with acceptable short term results. This presentation will review the current state of DCD heart transplant including methods to assess functional recovery of donor hearts.