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A lung transplant is a major surgery in which one person's damaged lungs are replaced with healthy ones from a donor. At the age of seventy-four, the body may not tolerate new lungs as well as when it was younger, which can cause some complications. The symptoms that tell you that you need a lung transplant are severe dyspnea and a permanent lack of energy. It's a difficult decision and requires careful thought as well as consultation with professionals.