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Abstract
In India, the Transplantation of Human Organs Act (THOA) 1994 and the subsequent amendments in 2011 and rules in 2014 form the legislative foundation for brain death and organ donation. While a lot of effort was put into raising awareness by a number of non-governmental organisations, like MOHAN foundation, and advocacy of several individuals, the much-needed boost came in the form of concrete steps taken by state governments such as Tamil Nadu [3],[4] and later emulated by Maharashtra, Karnataka, Kerala and others. The perception towards the whole programme will likely improve because families who feel more satisfied and appreciative of the level of care received by their loved ones may be more forthcoming in consenting for organ donation where the outcome is ultimately brain death despite the best efforts of medical staff.