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        <issuerName>TransMedics Group, Inc.</issuerName>
        <secFileNumber>001-38891</secFileNumber>
        <issuerAddress>
          <com:street1>200 MINUTEMAN ROAD</com:street1>
          <com:city>ANDOVER</com:city>
          <com:stateOrCountry>MA</com:stateOrCountry>
          <com:zipCode>01810</com:zipCode>
        </issuerAddress>
        <issuerContactPhone>9785520900</issuerContactPhone>
        <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>Gordon Stephen</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
        <relationshipsToIssuer>
          <relationshipToIssuer>Officer</relationshipToIssuer>
        </relationshipsToIssuer>
      </issuerInfo>
      <securitiesInformation>
        <securitiesClassTitle>Common Stock</securitiesClassTitle>
        <brokerOrMarketmakerDetails>
          <name>Fidelity Brokerage Services LLC</name>
          <address>
            <com:street1>245 Summer Street</com:street1>
            <com:city>Boston</com:city>
            <com:stateOrCountry>MA</com:stateOrCountry>
            <com:zipCode>02110</com:zipCode>
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        </brokerOrMarketmakerDetails>
        <noOfUnitsSold>15000</noOfUnitsSold>
        <aggregateMarketValue>1110141.11</aggregateMarketValue>
        <noOfUnitsOutstanding>32715316</noOfUnitsOutstanding>
        <approxSaleDate>04/01/2024</approxSaleDate>
        <securitiesExchangeName>NASDAQ</securitiesExchangeName>
      </securitiesInformation>
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        <securitiesClassTitle>Common Stock</securitiesClassTitle>
        <acquiredDate>04/01/2024</acquiredDate>
        <natureOfAcquisitionTransaction>Stock Option Exercise Grant Date 2/24/2021</natureOfAcquisitionTransaction>
        <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
        <isGiftTransaction>N</isGiftTransaction>
        <amountOfSecuritiesAcquired>15000</amountOfSecuritiesAcquired>
        <paymentDate>04/01/2024</paymentDate>
        <natureOfPayment>Wire</natureOfPayment>
      </securitiesToBeSold>
      <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
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          <name>Stephen Gordon</name>
          <address>
            <com:street1>c/o TransMedics Group, Inc.</com:street1>
            <com:street2>200 Minuteman Road</com:street2>
            <com:city>Andover</com:city>
            <com:stateOrCountry>MA</com:stateOrCountry>
            <com:zipCode>01810</com:zipCode>
          </address>
        </sellerDetails>
        <securitiesClassTitle>Common Stock</securitiesClassTitle>
        <saleDate>01/02/2024</saleDate>
        <amountOfSecuritiesSold>15000</amountOfSecuritiesSold>
        <grossProceeds>1156050.00</grossProceeds>
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        <sellerDetails>
          <name>Stephen Gordon</name>
          <address>
            <com:street1>c/o TransMedics Group, Inc.</com:street1>
            <com:street2>200 Minuteman Road</com:street2>
            <com:city>Andover</com:city>
            <com:stateOrCountry>MA</com:stateOrCountry>
            <com:zipCode>01810</com:zipCode>
          </address>
        </sellerDetails>
        <securitiesClassTitle>Common Stock</securitiesClassTitle>
        <saleDate>02/01/2024</saleDate>
        <amountOfSecuritiesSold>15000</amountOfSecuritiesSold>
        <grossProceeds>1281750.00</grossProceeds>
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            <com:stateOrCountry>MA</com:stateOrCountry>
            <com:zipCode>01810</com:zipCode>
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        </sellerDetails>
        <securitiesClassTitle>Common Stock</securitiesClassTitle>
        <saleDate>03/04/2024</saleDate>
        <amountOfSecuritiesSold>15000</amountOfSecuritiesSold>
        <grossProceeds>1241990.06</grossProceeds>
      </securitiesSoldInPast3Months>
      <noticeSignature>
        <noticeDate>04/01/2024</noticeDate>
        <planAdoptionDates>
          <planAdoptionDate>09/14/2023</planAdoptionDate>
        </planAdoptionDates>
        <signature>/s/ Myra King, as a duly authorized representative of Fidelity Brokerage Services LLC, as attorney-in-fact for Stephen Gordon</signature>
      </noticeSignature>
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text: 144
  0001774274
  XXXXXXXX
  LIVE
  0001756262
  TransMedics Group, Inc.
  001-38891
  200 MINUTEMAN ROAD
  ANDOVER
  MA
  01810
  9785520900
  Gordon Stephen
  Officer
  Common Stock
  Fidelity Brokerage Services LLC
  245 Summer Street
  Boston
  MA
  02110
  15000
  1110141.11
  32715316
  04/01/2024
  NASDAQ
  Common Stock
  04/01/2024
  Stock Option Exercise Grant Date 2/24/2021
  Issuer
  N
  15000
  04/01/2024
  Wire
  N
  Stephen Gordon
  c/o TransMedics Group, Inc.
  200 Minuteman Road
  Andover
  MA
  01810
  Common Stock
  01/02/2024
  15000
  1156050.00
  Stephen Gordon
  c/o TransMedics Group, Inc.
  200 Minuteman Road
  Andover
  MA
  01810
  Common Stock
  02/01/2024
  15000
  1281750.00
  Stephen Gordon
  /o TransMedics Group, Inc.
  200 Minuteman Road
  Andover
  MA
  01810
  Common Stock
  03/04/2024
  15000
  1241990.06
  04/01/2024
  09/14/2023
  /s/ Myra King, as a duly authorized representative of Fidelity Brokerage Services LLC, as attorney-in-fact for Stephen Gordon