structural:summarization
Respiration and circulation

Like other amphibians, oxygen can pass through their highly permeable skins. This unique feature allows them to remain in places without access to the air, respiring through their skins. Ribs are generally absent, so the lungs are filled by buccal pumping and a frog deprived of its lungs can maintain its body functions without them. The fully aquatic Bornean flat-headed frog (Barbourula kalimantanensis) is the first frog known to lack lungs entirely.

Frogs have three-chambered hearts, a feature they share with lizards. Oxygenated blood from the lungs and de-oxygenated blood from the respiring tissues enter the heart through separate atria. When these chambers contract, the two blood streams pass into a common ventricle before being pumped via a spiral valve to the appropriate vessel, the aorta for oxygenated blood and pulmonary artery for deoxygenated blood.

Some species of frog have adaptations that allow them to survive in oxygen deficient water. The Titicaca water frog (Telmatobius culeus) is one such species and has wrinkly skin that increases its surface area to enhance gas exchange. It normally makes no use of its rudimentary lungs but will sometimes raise and lower its body rhythmically while on the lake bed to increase the flow of water around it.