Our clinic cares for >300 lung transplant recipients over an extended geography in western Canada; all patients are eligible for VH. Usual clinic workflow was modified to adapt to VH (Table 1). Human resource modifications were negligible after implementation of VH; our clinic has 3.5 transplant coordinators (RNs), 1 MD per clinic day, and 1 PharmD; no additional support staff was needed during or after implementation. Post‐visit satisfaction surveys adapted from Sidhu et al 2  were completed immediately following VH visits, these surveys are Research Ethics Board exempt. After 6 weeks of data collection, 157 physician surveys were returned; 70% of visits have taken place by videoconference with the remaining 30% by telephone. Physicians reported being satisfied or very satisfied with VH over 90% of time. Physician dissatisfaction was often a result of missing or incomplete blood work or imaging. Technical problems interfered with care goals in only 2.5% of visits. In the same time period, 45 patient surveys were received, 71% from patients who live more than 150 kilometers from the clinic. Compared to usual care, 91% of patients reported that the virtual visit was as good as or better than in‐person visit. Fear of substandard care with VH compared to usual care, and lack of social interaction with other clinic patients and staff were identified by multiple patients as drawbacks of VH. The median estimated out‐of‐pocket expense saved per VH visit compared with in‐person visits was CAN $75 per patient (range $0‐$1250), and the median estimated amount of time saved was 9 hours (range 0‐92 hours).