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Guide · 7 min read

Deceased Donor Kidney Transplant and NOTTO

How the deceased-donor pathway works in India — brain death, NOTTO registration, allocation and waiting lists.

Last updated: 24/9/2026

A deceased-donor transplant uses a kidney from a person declared brain-dead, with family consent. In India this pathway runs through NOTTO and state organ registries.

How organs are allocated

Allocation follows national and state rules based on blood group, medical urgency and waiting time. Registration happens at a NOTTO-approved transplant centre.

Becoming a donor

You can pledge organ donation on the official NOTTO registry — and, crucially, tell your family, since their consent is what makes donation happen.

State differences

Deceased-donor programmes are stronger in some states. Where the full framework is not adopted, only living-donor pathways may be available.

Frequently Asked Questions

What is brain death?

The complete, irreversible loss of all brain function, confirmed by a panel of doctors. It is distinct from coma.

How do I join the waiting list?

Your transplant centre registers you with the state and NOTTO registries after you are evaluated as a candidate.

Sources

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This page is for general education only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified doctor about your specific condition.

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