Skip to main content

Evidence to Improve Care

Composite Tissue Transplant of Hand or Arm


Ontario Health Technology Advisory Committee Recommendation

  • The Ontario Health Technology Advisory Committee recommends against publicly funding composite tissue transplantation for hand or arm.

Read the full OHTAC Recommendation report



A severe injury or infection to a hand or arm can result in the need for amputation. In Canada, an estimated 227,000 people have had either an arm or a leg amputated.

Patients who have experienced hand or arm amputation may be able to undergo a transplant procedure known as composite tissue transplantation. This complex procedure involves connecting a deceased donor’s hand or arm to a person’s bone, muscles, nerves, skin and other tissue.


Health Quality Ontario Reviews Composite Tissue Transplant of Hand or Arm

Hand and arm transplants have been performed in several countries. Health Quality Ontario looked at the safety and effectiveness of hand and arm transplants, and also looked at how much these transplants cost and whether they are cost-effective.


Composite Tissue Transplant of Hand or Arm: A Health Technology Assessment (PDF)
June 2016


Use of this site, and the interpretation of the information contained here, is subject to important terms and conditions. Use of this site and information except in accordance with these terms and conditions is expressly prohibited.


The Ministry of Health and Long-Term Care has accepted this recommendation.

The Ministry of Health and Long-Term Care has provided the following response: As recommended by HQO and due to the uncertain clinical benefit, the Ministry has no plans to provide further dedicated program funding for hand or arm transplants beyond existing commitments.



Let’s make our health system healthier

Join Our Patient, Family and Public Advisors Program

Patients, families and the public are central to improving health quality.


Man smiling

Sign up for our newsletter

Are you passionate about quality health care for all Ontarians? Stay in-the-know about our newest programs, reports and news.

Health Quality Connect - Health Quality Ontario's newsletter - on an iPad and a cell phone