This book addresses a critical and real challenge faced by transplant programs in emerging health systems on how to expand deceased organ donation, particularly donation circulatory death (DCD), in settings where resources are limited but patient need is overwhelming. It speaks directly to clinicians and administrators who confront the daily gap between organ demand and availability and offers practical, experience-driven solutions for building DCD programs that are ethical, transparent, and clinically sound. The book focuses on implementation rather than theory, guiding readers through consent pathways, ICU coordination, clinical workflows, legal safeguards, and outcome monitoring, all grounded in the realities of the healthcare system in India. By sharing clinician-led strategies and system-level solutions, it answers a fundamental question: how can deceased donation be expanded responsibly without eroding public trust or clinical standards?

This book is especially relevant for transplant physician, transplant surgeons, intensivists, administrators, policymakers, and organ donation coordinators seeking to strengthen deceased donation ecosystems. It offers a pragmatic roadmap for integrating DCD into existing programs, making transplantation more equitable, sustainable, and accessible within emerging health systems.