Endothelial keratoplasty offers significant benefits over traditional full-thickness corneal transplants, particularly in terms of reduced rejection rates and faster visual recovery. However, the procedure’s complexity, risk of graft dislocation, and need for specialized surgical skills pose challenges. As surgical techniques and postoperative care continue to improve, the outcomes and accessibility of EK are likely to become even more favorable. With the availability of the uniqueTransplantReady product line – TransplantReady PKP, TransplantReady DSAEK, and TransplantReady DMEK Endo-In cornea surgeons experienced the benefits and made the switch from preparing tissue intraoperatively to receiving tissue ready for transplant. The equipment, instrumentation, and supplies were no longer needed in the O.R. and the risk of damaging tissue was eliminated.