<?xml version="1.0" encoding="UTF-8"?><edgarSubmission xmlns="http://www.sec.gov/edgar/ownership" xmlns:com="http://www.sec.gov/edgar/common">
  <!-- Generated by Workiva -->
  <headerData>
    <submissionType>144</submissionType>
    <filerInfo>
      <filer>
        <filerCredentials>
          <cik>0001774272</cik>
          <ccc>XXXXXXXX</ccc>
        </filerCredentials>
      </filer>
      <liveTestFlag>LIVE</liveTestFlag>



    </filerInfo>
  </headerData>
  <formData>
    <issuerInfo>
      <issuerCik>0001756262</issuerCik>
      <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>978-552-0900</issuerContactPhone>
      <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>John Carey</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
      <relationshipsToIssuer>
        <relationshipToIssuer>Affiliate</relationshipToIssuer>
      </relationshipsToIssuer>
    </issuerInfo>
    <securitiesInformation>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <brokerOrMarketmakerDetails>
        <name>J.P. Morgan Securities LLC</name>
        <address>
          <com:street1>390 Madison Avenue</com:street1>
          <com:street2>6th Floor</com:street2>
          <com:city>New York</com:city>
          <com:stateOrCountry>NY</com:stateOrCountry>
          <com:zipCode>10017</com:zipCode>
        </address>
      </brokerOrMarketmakerDetails>
      <noOfUnitsSold>2821</noOfUnitsSold>
      <aggregateMarketValue>222661</aggregateMarketValue>
      <noOfUnitsOutstanding>32196219</noOfUnitsOutstanding>
      <approxSaleDate>05/01/2023</approxSaleDate>
      <securitiesExchangeName>Nasdaq</securitiesExchangeName>
    </securitiesInformation>
    <securitiesToBeSold>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <acquiredDate>05/01/2023</acquiredDate>
      <natureOfAcquisitionTransaction>Option Exercise</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>2821</amountOfSecuritiesAcquired>
      <paymentDate>05/01/2023</paymentDate>
      <natureOfPayment>Cash</natureOfPayment>
    </securitiesToBeSold>
    <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>John Carey</name>
        <address>
          <com:street1>Care of 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</securitiesClassTitle>
      <saleDate>03/01/2023</saleDate>
      <amountOfSecuritiesSold>1410</amountOfSecuritiesSold>
      <grossProceeds>113733.92</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>John Carey</name>
        <address>
          <com:street1>Care of 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</securitiesClassTitle>
      <saleDate>04/01/2023</saleDate>
      <amountOfSecuritiesSold>1410</amountOfSecuritiesSold>
      <grossProceeds>105513.31</grossProceeds>
    </securitiesSoldInPast3Months>
    <noticeSignature>
      <noticeDate>05/01/2023</noticeDate>
      <planAdoptionDates>
        <planAdoptionDate>12/12/2022</planAdoptionDate>
      </planAdoptionDates>
      <signature>/s/ J.P. Morgan Securities LLC as agent and attorney-in-fact for John Carey</signature>
    </noticeSignature>
  </formData>
</edgarSubmission>
