This 29th adult transplant report is based on data submitted by 394 transplant centers worldwide. In excess of 104,000 heart transplants have been registered in the database. Summary data are provided for the entire cohort of patients, whereas a number of additional analyses focus on cohorts of patients transplanted more recently. Detailed data analyses can be viewed on the slide set of the registry of the International Society for Heart and Lung Transplantation (ISHLT), which is available online (www.ishlt.org/registries). The report is divided into several sections. Baseline donor, recipient and medical center demographics are reviewed first. The second part focuses on immunosuppressive therapies and acute allograft rejection. Survival after heart transplant is examined next, and data on post-transplant morbidities and quality of life after transplant conclude the report.