Over the past few years, hemopoietic transplant has evolved from an in
vestigational phase to routine therapy thus becoming a potentially cur
ative strategy for a large variety of diseases. Several transplant sit
uations are still outstanding and the need for ex vivo graft manipulat
ion for different transplantation products is growing. To obtain an id
eal graft, many different methods, even sophisticated manipulations, m
ay be required. Since transplantation products play an important role
in disease outcome, the assessment of graft quality to ensure standard
compliance is needed. The development of a regulatory approach to the
se new manipulated hematopoietic products is very complex and should c
ome under current Good Manufacturing Practices (cGMPs). Manufacturing
approach to these new blood products must be urgently introduced to ac
counting Quality System in Transfusion Medicine. The best way to devel
op compliance with standards, in agreement with internationally accept
ed criteria, is, likely an accreditation system in transplantation pro
grams.