Abstract: A dynamic dual chamber breathing prosthesis and methods are provided. The dual chamber breathing prosthesis can include an elastic lung prosthetic capable of being implanted in a chest cavity of a patient in place of an excized portion of lung, such as a lobe, and a reservoir capable of being implanted in the patient. A tube can be configured to be operatively arranged between the elastic lung prosthetic and the reservoir such that the elastic lung prosthetic is in fluid communication with the reservoir. As a breathing cycle including an inspiration phase and an expiration phase alternatingly occur during normal respiration, a fluid is capable of being dynamically transferred between the elastic lung prosthetic and the reservoir during each breathing cycle.