A 40-year-old man with end-stage renal disease wishes to receive a kidney from a close family friend. Both parties approach the transplant team voluntarily. Under the Transplantation of Human Organs Act, what additional requirement must precede such an unrelated live donor transplantation?

• A Certification by two independent nephrologists that dialysis has failed
• B Written permission of the recipient's nearest blood relative
• C Prior approval of the Authorisation Committee constituted for the purpose ✓
• D No further requirement, since both parties have consented voluntarily

Explanation

Live unrelated donation is lawful under the Transplantation of Human Organs Act only after scrutiny and prior sanction by the Authorisation Committee, which verifies that no money has changed hands and that the altruistic motive is genuine. Consent of other relatives is not the statutory safeguard, and dialysis failure is a clinical matter irrelevant to donor legality. Voluntary consent alone does not validate an unrelated donation.

Reference: Transplantation of Human Organs Act, 1994 (amended 2011), Statute ed.

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