We present a new approach to ligand exchange on lead sulfide (PbS) quantum dots (QDs) in which the QDs are reacted with preformed Pb cation-ligand exchange units designed to promote reactions that replace surface Pb and oleate groups on the as-grown QDs. This process introduces negligible surface defects as the high quantum efficiency (∼55%) of the as-grown QDs is maintained. Infrared spectroscopy and electron microscopy are used to confirm the replacement of ligands and time-resolved photoluminescence to demonstrate the expected inverse sixth power dependence of the nonradiative resonant energy transfer rate on inter-QD spacing.