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Doctors at the Department of Head and Neck Surgery at Amrita Institute of Medical Sciences and Research Center (AIMS), Kochi had successfully conducted India's first double hand transplant. The organ donation was facilitated by the Kerala Network for Organ Sharing (KNOS) the Kerala Government’s Nodal Agency for Organ Retrieval and Sharing. Manu, who had lost both hands received limbs from a 24-year-old accident victim, in a marathon of 16 hours long surgery.