Face transplant recipient Andy Sandness speaks during an interview Friday, Oct. 27, 2017, at the Mayo Clinic in Rochester, Minn. Life with a transplanted face takes work, every day. Sandness is on a daily regimen of anti-rejection medication. He???s constantly working to retrain his nerves to operate in sync with his new face, giving himself facial massages and striving to improve his speech by running through the alphabet while driving or showering. (AP Photo/Charlie Neibergall)