Worldwide, the majority of heart transplant organs are from donation after brain death . However, the shortage of suitable donors places severe limitations on this route . One option to increase the donor pool is to use organs from donation after circulatory death (DCD). Transplant centers for solid organs have been using DCD organs for years . At this time , 40% of solid organ transplantation in the United Kingdom uses organs from DCD . Use of DCD for solid organ transplants in Canada is also rising . Recently, there has been interest in using DCD organs for heart transplantation . The authors will discuss their experience of 4 heart transplants with organs from DCD donors after normothermic regional perfusion (NRP). The authors' first heart transplant using a DCD organ was in January 2020, and the fourth was in March 2020, just before the coronavirus disease 2019 (COVID-19) pandemic . The authors' protocol using NRP allows adequate evaluation of the donor heart to confidently determine organ acceptance . The co-location of the donor and the recipient in neighboring operating rooms limits ischemic times . Avoidance of an expensive ex vivo organ perfusion machine is an additional benefit for programs that may not have the resources required to purchase and maintain the machine . Some hospitals may not have the resources and space to be able to co-locate both the donor and recipient . Use of cold storage may be an option to transport the procured organ, similar to donation after brain death organs . The authors hope that this technique of NRP in DCD donors can help further increase the donor pool for heart transplantation in the United States.