Custom grafts are joint, and size-specific osteochondral grafts explicitly produced for the surgeon’s patient. The grafts are produced from donated tissue that is not customarily recovered; examples would include elbows, hands, and toes. Special authorization from the donor families is sometimes needed to have these tissues recovered. Circumstances like the additional authorization and funeral arrangements (i.e., open casket versus cremation) can impact the opportunities for recovery of custom tissue; thus, wait times for custom grafts can take upwards of six months to be produced. Custom grafts can now be requested through our online portal. Click here to place a request.