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The level of the surgeons' transplantation experience and the level of the hospital transplantation teams' quality of care may significantly contribute to reducing the incidence of severe sepsis post-transplantation. Multiple studies [7, 19, 20] have shown an association between hospital volume and surgical outcomes for organ transplantations. However, the effect of surgeon or hospital volume on severe sepsis is not yet clear despite its being a key factor associated with both graft longevity and patient survival. This study aims to explore the relationship between the surgeon or hospital volume with consideration of the postoperative severe sepsis or graft-failure (including death). Therefore, we investigated this question on a nationwide scale using claims data from the Taiwan National Health Insurance Database..