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First, surgeons remove the uterus and part of the vagina from the donor - in this case, one who was deceased, since it is a risky surgery that involves separating uterine blood vessels that are tightly wrapped around the tubes from the bladder. Next, the uterus is transferred to the living recipient. Surgeons connect an artery and a vein on either side of the uterus to connect it to the recipient's blood supply. A piece of the donor's vaginal tissue is attached to the recipient's vagina, and supporting tissue is attached to the pelvis to secure the organ in place. It's not necessary to connect any nerves.