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A Massachusetts man who was the recipient of a double hand transplant is making incredible progress in his recovery from surgery in 2011.

How incredible? He’s playing grand piano again.

Richard Mangino, a quadruple amputee, became the world’s first successful double hand transplant case at Brigham and Women’s Hospital in Boston. No less than a team of 40 surgeons, nurses, anesthesiologists, residents, radiologists and assistants performed the history-making 12-hour procedure less than three years ago.

Now Mangino, a musician and painter who lost his lower arms and legs to an infection in 2002, has gained enough sensation in his fingers to draw as well as play music.

“The new normal is just the way that I am,” Mangino, from Revere, Ma., told WCVB-TV. “I don’t notice what I have or what I don’t have. I’m just doing all these things now.”

Read More: YAHOO! NEWS