Directed Organ Donation After Euthanasia

Transpl Int. 2023 May 30:36:11259. doi: 10.3389/ti.2023.11259. eCollection 2023.


Organ donation after euthanasia is performed in Belgium, the Netherlands, Canada and Spain. Directed deceased organ donation is currently possible under strict conditions in a limited number of countries, while it is currently not possible to opt for directed donation following euthanasia. While organ donation after euthanasia is a deceased donation procedure, directed organ donation after euthanasia could be seen as a deceased donation procedure with a living donation consent process. Therefore, directed organ donation after euthanasia is feasible on medical and ethical grounds. Strict safeguards should be in place, including the requirement of a pre-existing familial or personal relationship with the proposed recipient, without any evidence of coercion or financial gain.

Keywords: deceased donation; directed donation; end of life; euthanasia; recipient selection.

MeSH terms

  • Directed Tissue Donation
  • Euthanasia*
  • Humans
  • Netherlands
  • Organ Transplantation*
  • Tissue Donors
  • Tissue and Organ Procurement*