[4] In late December 2013, it was announced that United Network for Organ Sharing had developed new policies and regulations governing the new field of hand and face transplants like it does standard organ transplants, giving more Americans who are disfigured by injury or illness a chance at reconstruction.

[5] The rules mean potential transplant recipients will be added to the United Network for Organ Sharing network, for matching of donated hands and face tissue to ensure correct tissue type and compatibility for skin color, size, gender and age.

[6] In 2020, the Senate Finance Committee launched a bipartisan investigation into UNOS, seeking information into various abuses and patient harms.

[7] In 2022, the committee published a bipartisan report concluding that "From the top down, the U.S. transplant network is not working, putting Americans’ lives at risk.".

[8] UNOS has also come under intense scrutiny for issues related to outdated and insecure technology,[9] as well as failing to address fatal patient safety risks,[10] anti-patient misinformation.

[11] An investigation by the United States Senate Committee on Finance published in August 2022 catalogs over a thousand complaints from the previous decade, including patient deaths and injuries caused by failures to check for disease and match blood type.