The current coronavirus disease 2019 (COVID-19) pandemic has not only caused global social disruptions but has also put tremendous strain on healthcare systems worldwide With all attention and significant effort diverted to containing and managing the COVID-19 outbreak (and understandably so), essential medical services such as transplant services are likely to be affected Closure of transplant programs in an outbreak caused by a highly transmissible novel pathogen may be inevitable owing to patient safety Yet program closure is not without harm;patients on the transplant waitlist may die before the program reopens By adopting a tiered approach based on outbreak disease alert levels, and having hospital guidelines based on the best available evidence, life-saving transplants can still be safely performed We performed a lung transplant and a liver transplant successfully during the COVID-19 era We present our guidelines and experience on managing the transplant service as well as the selection and management of donors and recipients We also discuss clinical dilemmas in the management COVID-19 in the posttransplant recipient