match was later changed due to Kobashi needing surgery to remove a cancerous tumor, leading to Takayama teaming with Kensuke Sasaki against Akiyama and Misawa. However, when Kenta Kobashi returned, it would be in the same match, teaming with Yoshihiro Takayama to take on Jun Akiyama and Mitsuharu Misawa. Takayama then started teaming with old UWFI comrade Takuma Sano in a tournament for the GHC Tag Team Championship vacated by Kenta Kobashi and Tamon Honda due to Kobashi's kidney tumor (Takayama and Sano would reach the final where they would lose to Muhammad Yone and Takeshi Morishima). On December 27, he showed up at a Pro Wrestling ZERO1-MAX show, attacked former partner Takao Omori, and promised to return at the next show. Takayama defeated Great Muta on March 14, 2009, at Pro-Wrestling Love in Ryogoku Vol. 7 to win the Triple Crown Heavyweight Championship. With this victory, Takayama became the second wrestler (the other being Kensuke Sasaki) to win the three major heavyweight titles in Japan: NOAH's GHC Heavyweight Championship, New Japan's IWGP Heavyweight Championship, and All Japan's Triple Crown Heavyweight Championship. Takayama held the Triple Crown for almost seven months, losing the title to Satoshi Kojima on September 26. On January 4, 2010, at Wrestle Kingdom IV in Tokyo Dome, Shinsuke Nakamura defeated Takayama to retain his IWGP Heavyweight Championship. In 2010, Takayama and Sano competed in NOAH's "Global Tag League" tournament and emerged the victors, however they were subsequently unable to dethrone the GHC Tag Team Champions Takeshi Rikio and Muhammad Yone. From March 28 to May 2, 2010, Takayama competed in (and eventually won) Pro-Wrestling Noah's 1st ever Global League. He defeated Jun Akiyama in the final match of the tournament, finishing up with a total of 7 points. It was then announced that due to his victory, Takayama had earned a GHC Heavyweight Championship match versus Takashi Sugiura on July 10. On September 18, 2010, Takayama and Takuma Sano defeated Akitoshi Saito and Bison Smith to win the vacant GHC Tag Team Championship. On January 4, 2011, at New Japan's Wrestle Kingdom V in Tokyo Dome, Takayama and Sugiura defeated Hirooki Goto and Kazuchika Okada in a tag team match. Takayama and Sano would lose the GHC Tag Team Championship to New Japan's Giant Bernard and Karl Anderson on June 18, 2011, at Dominion 6.18 in a match contested also for the IWGP Tag Team Championship.