Our objective was to describe practice patterns and surgical outcomes of penile prosthesis (PP) surgery in the solid organ transplant population. To our knowledge, such population-based data has not been published. The New York Statewide Planning and Research Cooperative System (SPARCS) database was queried for ICD and CPT codes indicating insertion or replacement of malleable or inflatable PPs from 1995-2014. Patients with a history of kidney, heart, liver, lung, and pancreas transplants were identified by ICD codes. Reoperations were identified by ICD and CPT codes for PP removal, repair or replacement. Descriptive statistics were generated describing practice patterns and surgical outcomes. Reoperation rates in the transplant and non-transplant populations were compared by Chi-square testing. ... 123 patients with solid organ transplants underwent PP insertion during the study period, including 101 renal transplant recipients (82%). Implant selection patterns are depicted in the table. Mean followup durations after PP placement in the transplant and non-transplant cohorts were 71.2±67.3 and 41.7±43.9 months, respectively (p=0.16). Reoperation rates in the transplant and non-transplant cohorts were 14.6% (18/123) and 12.6% (1826/14531), respectively (p=0.58). The infection rate in the transplant cohort was non-reportable. Of note, we cannot report certain results as SPARCS data agreement prohibits reporting data pertaining to less than 10 patients.