In 2006, Andy Sandness reached a breaking point. Struggling with overwhelming depression, he made a decision he believed would end his pain forever. He put a gun to his face and pulled the trigger.
But he didn’t die.

Instead, that moment became the beginning of a new—and unimaginable—path. One paved with suffering, strength, and ultimately, survival. What followed wasn’t just a medical miracle—it was a profound testament to human resilience and the power of second chances.
The Aftermath: Surviving the Unimaginable
Andy lived, but his face didn’t. The damage from the bullet was devastating—he lost his nose, jaw, mouth, and parts of his forehead. In the mirror, he could no longer recognize himself. Strangers stared. Children cried. He avoided crowds and even his own reflection.
Video: 2 years after face transplant, Andy Sandness’ smile shows his progress
For years, he underwent multiple reconstructive surgeries. While doctors did what they could, the results still left him feeling incomplete. As Andy put it, he didn’t just lose his face—he lost his identity.
And yet, he never gave up.
The Courage to Hope Again
Nearly a decade later, Andy made a life-altering decision. He enrolled on the face transplant waiting list, knowing the odds were slim. Such procedures are rare, incredibly complex, and require a perfect donor match. But for Andy, hope was worth the wait.
In June 2016, he received the call that would change everything.

A Tragic Loss Becomes a Life-Giving Gift
That same month, Calen “Rudy” Ross, a young man in his early 20s, died by suicide. Just weeks before, he had been preparing to welcome his first child into the world. In the face of unimaginable grief, Rudy’s wife, Lilly, was asked if she would consider donating his face for transplant.
Her hesitation was understandable. Would she one day see Rudy’s features on a stranger? But after learning that Andy would retain his own eyes, forehead, and expression, Lilly said yes. She wanted her husband’s death to mean something. And in doing so, she gave Andy more than a new appearance—she gave him his life back.
Video: Mayo Clinic’s first face transplant patient meets donor’s family
The Surgery That Made History
On June 16, 2016, at the Mayo Clinic in Minnesota, a team of 60 surgeons, specialists, and support staff began a 56-hour operation—the clinic’s first-ever face transplant.
Andy received Rudy’s jaw, cheeks, nose, lips, and teeth. When he awoke, the first thing he noticed was something he hadn’t felt in years: hope.
His surgeon, Dr. Samir Mardini, called the operation a breakthrough. Andy called it a blessing.

Recovery: Relearning the Basics of Being Human
The road to recovery was slow, difficult, and demanding. Andy had to re-learn how to speak, chew, smile, and blink. Every movement was a victory. With the help of speech therapists, physical therapists, and mental health professionals, Andy trained his new face like an athlete trains muscles—through repetition, pain, and perseverance.
Each day brought progress. Each smile brought purpose.
Finding Peace in the Mirror Again
For the first time in nearly ten years, Andy began to recognize himself again—not because he looked like the man he once was, but because he felt whole.
Video:
Mayo Clinic’s First Face Transplant: The Patient
He returned to the workplace. He reconnected with family and friends. He even met Rudy’s widow, Lilly, in an emotional meeting that left both in tears. There were no regrets—only shared healing and quiet gratitude.
A Voice for Mental Health and Healing
Today, Andy Sandness shares his story to raise awareness about mental health and suicide prevention. He speaks openly about his struggles, not for sympathy, but to let others know they are not alone.
“If my lowest moment can lead to this kind of transformation,” Andy says, “then maybe others will think twice before giving up.”

His story isn’t just about science—it’s about the human spirit. It’s about community, compassion, and the unbreakable will to live.
Final Thoughts: A Face That Tells a Story of Strength
Andy didn’t set out to inspire. He simply wanted to survive. But through one of the most complex face transplants in medical history, he has become a symbol of resilience and recovery.

His journey shows that even when life breaks you in the most unimaginable way, there is still a path forward. That sometimes, your scars can tell a story—not of pain, but of strength.
Today, Andy no longer hides. He walks into rooms with confidence. He’s not just a face in the crowd—he’s a living reminder that no matter how dark life gets, there’s always a chance to begin again.