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However, unlike other organ transplants, uterine transplants are temporary. The uterus is typically kept in the recipient for up to five years before being removed. This crucial step is designed to avoid long-term immunosuppressive medication, which is necessary to prevent organ rejection but carries significant health risks when used indefinitely. The removal procedure completes a cycle that involves multiple surgeries, totaling at least two major operations plus the IVF process, representing a serious commitment both physically and emotionally.