Heart transplantation has improved with advances in surgical methods, immunosuppression, and perioperative support. Current transplant surgery is more accurate, safer, and comes with enhanced patient survival. Advances consist of better donor-recipient matching, organ preservation devices, and enhanced surgical techniques that decrease ischemia time and complications. Posttransplant care is important to transplant success, including careful monitoring for rejection, infection, and graft function. Multidisciplinary coordination between surgeons, cardiologists, anesthesiologists, and nursing staff guarantees maximal benefits. Ongoing research and technological advancement continue to increase the scope and success rates of heart transplantation worldwide.