The use of immunosuppressive agents to prevent tissue rejection may predispose patients to osteoporosis and fractures. We report a case of bilateral pathological hip fractures in a woman with osteoporosis who had undergone a bipulmonary transplant. To reduce the risk of pathological fractures. patients are given prophylaxes for osteoporosis prior to organ transplantation. https://www.alarecre.com/American-Flag-Color-Block-iPhone-14-Waterproof-Case-p12619/