This article is about the Yuuzhan Vong ceremony involving the replacement of a limb. You may be looking for organ grafting, a Vong ritual of the replacement of organs.

Escalation, or elevation, was a ceremony of promotion among the Yuuzhan Vong. When a Yuuzhan Vong earned the right to be escalated, they would sacrifice a limb, which the shapers would then replace with that of a creature native to Yuuzhan'tar. If the ceremony was successful, then that Yuuzhan Vong was favored by the gods, and allowed to advance. However, if the priests found a flaw or the implant was rejected, the Yuuzhan Vong was then declared a Shamed One, and passed to the lowest levels of society.

While it was believed that rejection was because of the gods' anger, in truth it was the incompetence of the shaper who performed the escalation. However, on certain occasions, a shaper would intentionally cause an implant rejection, as was done by a Master Shaper Mezhan Kwaad to her former lover Vua Rapuung.

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