Department of Transplantation Dept. of Transplantation

1. How to Become a Donor

Organ donation is a great way of giving the gift of life to other people with organ failure. In the US, the only way to become a deceased donor is to ask your family to authorize organ harvesting in your name, in the case you are declared brain-dead. Your organs will be allocated in a safe and ethical manner that’s supervised by the United Network of Organ Sharing (UNOS). This section pertains to deceased liver donors; if you're considering living donation for adult liver transplant, visit our living donor transplant section.

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How to Become a Donor

In the U.S., registering as a deceased donor doesn't automatically grant doctors permission to harvest your organs. In the unfortunate event of the death of a healthy person, only the surviving family can authorize to donate the organs of the deceased. With this in mind, if you want to become a donor, you should voice these wishes to your family.

The donor (or the family) may choose which organs to donate. The most common are: heart, lungs, kidneys, liver, pancreas and intestines. Some tissues can also be transplanted; the most frequent being the corneas, skin, and bone marrow.

About Registered Donors

Registering to become a donor is a great way to raise awareness, but it does not grant anyone the right to harvest your organs. This means that having a ‘Donor’ sticker on your driver’s license won’t automatically give physicians the authorization to harvest your organs. Due to the moral implications of donation, this process is very carefully monitored by UNOS, and they’ve ruled that the only way to give permission is through the consent of the family of the deceased.

Possible Donor Concerns

One of the biggest misconceptions about organ donation is that the donor will receive poor medical attention so that the doctors can get their organs. This is absolutely not true. In fact, the emergency physicians who are attending to the donor are not associated with organ donation in any way. Their sole objective is to help the patient survive. The organ procurement organization isn’t called into the hospital until after the donor has been officially declared brain-dead, not before.

The organ donor and his/her family don’t have to pay for any donation-related costs. Obtaining organs is a burden that is covered by the insurance of the recipient. The donor’s body will not be disfigured, which means that an open casket funeral can still take place after donation.

UNOS

The United Network for Organ Sharing is a non-profit organization that’s in charge of overseeing organ procurement and transplant across the U.S. They are contracted by the U.S. Department of Health and Human Services. As the governing entity for all transplant activities, they perform the following roles:

  • Overseeing policy compliance and development.
  • Maintaining the national organ wait-lists.
  • Matching donated organs with transplant candidates.
  • Collecting statistical data on all transplant recipients and donors.
  • Overseeing all organ procurement organizations (OPOs), and ensuring ethical practices.

OPO

There are 58 organ procurement organizations in the nation, all under the supervision of UNOS. As their name states, they are in charge of obtaining organs, so they are the front-line contact with the deceased donor and their families. Each OPO is a non-profit that serves a different region in the nation. Their roles include:

  • Getting permission from the recently deceased donor's family to obtain organs.
  • Evaluating blood type, tissue type, and condition of the organs, as well as checking for infections.
  • Working with UNOS to find suitable candidates for the organs.
  • Surgically extracting the organs that are to be donated.
  • Transporting the organs to their respective transplant centers.
  • Mediating possible communication between the recipient and the donor's surviving family.
  • Performing community outreach to increase the number of registered donors.