Iran with an organ donation rate (ODR) of 14.34 per million population (pmp) in 2019 had the highest ODR in Asia as per the International Registry in Organ Donation and Transplantation (www.irodat.org). Israel’s ODR was 10.8 pmp and South Korea’s ODR was 8.68 pmp in 2019. Mehdi Shadnoush, Head of the Iranian Health Ministry’s Centre for Transplantation and Disease Management said that the country ranked 21st in deceased donation in the world, while it ranked 14th in living donation. Approximately 8,000 people die of brain death annually in Iran, but out of the 4,000 who qualify to be organ donors, only 1,000 donate their organs. There are around 25,000 people on transplant waiting lists with 7 – 10 persons dying every day waiting for an organ in the country. When it comes to organ donor cards, 10 percent of Iranians (8.2 million) have them.