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Public Comment Open August 3 to October 3

Voice your opinion

Read six policy proposals, including one about proposed geographic frameworks, and tell us what you think.

Submit feedback.

Heart policy changes

Training for heart policy changes

OPO and UNet system training coming soon.

Make sure you're prepared.

Geographic organ distribution

Geographic organ distribution

Three frameworks are available for review.

Access information


October: Liver Distribution Proposal

Alternative to replace DSAs and regions for distribution.

Learn more

At a Glance


people need a lifesaving organ transplant (total waiting list candidates). Of those, 74,776 people are active waiting list candidates. Totals as of today 5:43am


organ transplants performed so far in 2017
Total Transplants January - July 2018
as of 08/16/2018


Total Donors January - July 2018
as of 08/16/2018

Organ donation and transplantation can save lives

One individual is added to the national transplant waiting list every 10 minutes.

Every ten minutes, someone is added to the national transplant waiting list.

Approximately 22 people die each day waiting for a transplant in the United States.

On average, 95 transplants take place each day in the U.S.

Eight lives can be saved from one organ donor.

One organ donor can save eight lives. Sign up to be a donor in your state.

The organ shortage continues

The gap between supply and demand continues to widen.

Despite advances in medicine and technology, and increased awareness of organ donation and transplantation, there continues to be a gap between supply and demand.

More progress is needed to ensure that all candidates have a chance to receive a transplant. [Graph description of The organ shortage continues ]


  • Wednesday, August 15, 2018
    NLRB, liver distribution implementation postponed
    The committee is working to replace the local donor service area (DSA) and region as specific units of distribution with an alternative geographic framework. As a result, neither the NLRB nor the previously approved liver distribution policy will be implemented in 2018 as originally scheduled.

  • Friday, August 10, 2018
    Constituent council initiative tests options to improve committee structure
    Two committees, Patient Affairs and Transplant Coordinators, are participating in the proof of concept.

  • Tuesday, August 7, 2018
    Ad Hoc Committee formed to address OPO, transplant center, system metrics
    A new ad hoc committee will focus on studying the systems and relationships among OPOs and transplant centers. It will identify tools and principles that can be used to drive collaborative transplant systems performance improvement.

  • Sunday, August 5, 2018
    Public comment sought (1)
    The Organ Procurement and Transplantation Network (OPTN) offers policy proposals for public comment from August 3 through October 3, 2018.

  • Friday, August 3, 2018
    Public comment sought
    The Organ Procurement and Transplantation Network (OPTN) offers policy proposals for public comment from August 3 through October 3, 2018.

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Resources for professionals

Kidney allocation system materials

Access educational materials, calculators and more.

Compliance guidance

The OPTN Evaluation Plan is a compliance guide for member hospitals, OPOs and labs.

Patient safety resources

Patients are the focus of all the OPTN's collective efforts.

Resources for patients

How policies are made

Here's a brief look at how an idea transforms from proposal to transplant policy.

About organ donation

The donation process begins with a decision.

How organ allocation works

We must allocate each precious organ in the most equitable manner possible.