As in previous years, the results of the Spanish Registry for Heart Transplantation are presented by the Section of Heart Transplantation of the Spanish Society of Cardiology. There are 12 participating hospitals with heart transplantation program. Two hospitals have got infants and adults programs; one hospital have got only infants program. In 1996, 282 procedures were performed, all orthotopic, which represents similar results to one or two years ago, with 292 and 277 operations respectively; this problem is important and should oblige to change the politics of National Network of Transplant (ONT). The early mortality was 12%. The actuarial survival is 53% at 8 years, similar to the International Society for Heart and Lung Transplantation (ISHLT). The survival depends of donor age, receptor age, receptor sex, ischemic time, elective or urgent intervention, extracorporeal circulation time, etiology of cardiac dysfunction, period time of intervention, renal function and donor dead etiology.