graft type, category, era of transplant and invasive ventilation. Univariate analysis for graft survival showed that the following variables had a significant (p<0.05) impact on graft survival: patient age, patient weight, patient height, category, and era of transplant. Multivariate statistical analysis of Patient and graft Survival showed that the only significant factor for graft and patient survival is the era of transplant where patients transplanted after 2010 has significantly higher recipient and graft survival. Summary This study, spanning over about 20 years, represents one of the biggest UK based PLT single centre reports. Only significant factor for patient and graft survival was era of transplant with PLT after 2010 has significantly better patient and graft survival. Conclusion Building experience has substantial effect on patient and graft survival. Traditional view of worse outcomes of smaller candidates should be changed especially in high volume centres with prolonged experience.