Every year in India, 5 lakh people die waiting for organs to be transplanted. Though 2,00,000 people need a kidney every year, only 3% get it. Our organ donation rate, at 0.34 per million, is among the lowest in the world and we stand at 0.08% as organ donors per million (PMP). While countries like Singapore, Belgium and Spain have an aggressive approach of ‘presumed consent’ which permits organ donation by default, achieving a high rate of donations averaging between 20-40 PMP, other countries like US, UK, Germany & Netherlands having ‘family consent’ system have also reached 10-30 PMP. To get in pace with the increasing demand for transplants, a lot of successful strategies have to be promoted.