It is an imperfect world that we live in. Every day, there are people whose lives could be saved if only they would receive a fresh organ that is healthy in place of their mal-functioning one. A variety of illnesses or mishaps can lead people into this terrible condition either as sufferers of a chronic medical condition that could result in a damaged kidney or liver or heart, or of a road accident that harms a particular organ and can threaten the person with complete debilitation. For instance, one of the most effective therapies for end-stage kidney or liver disease is organ transplantation. Then, there is a need for healthy hearts, lungs, eyes, the pancreas and the intestines, among others. Growing disease burden has translated into a swelling need for healthy organs from people who cease to live to grant fresh lease of life to those who do, who wait with mounting desperation for an organ transplant as a life-saving procedure. As always, one of the greatest barriers to generating the evidence for any convincing policy or programmatic reform is the paucity of trust-worthy and complete data. What India has is sporadic data compilations that are used in diverse settings by multiple stakeholders.