In this episode of Hot Seats we capture an engaging roundtable discussion on Replantation in the 21^st Century. During this segment Dr. Alexander Spiess moderates the discussion of the insights shared from three distinguished doctors, Dr. Page Fox, Dr. Suhail Mithani and Dr. Bauback Safa, on their experience with replantation in a major academic center, how their indications for replantation have evolved, thoughts on regionalization of care and strategies for training the next generation for replantation specialist in an age of contracting medical resources in concern for physician wellbeing.