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Is Organ Donation mandatory in your country?
The 2026 map of where Organ Donation is mandatory or partly required, aired Oct 22, 2026.
Follow so you see it first.
Mandatory in 27 countries
A donor unless you sign the objection register, since 1982.
Opt-out since 1986; you object at your town hall.
Opt-out since 2002, with a national refusal register.
Opt-out since 2002.
Opt-out since the 2010 amendment.
Opt-out since 1976; say no on the national refusal register.
Opt-out since 1997.
Opt-out since 1992.
Opt-out since 1973.
A donor unless you're on the Central Register of Objections.
Opt-out since 1993, via the RENNDA non-donor register.
Opt-out since 1994.
Opt-out since 2000.
Opt-out, law updated in 2024.
Opt-out, and one of Europe's top donor rates for a decade.
Opt-out since 1982; 29,812 people had said no by April 2025.
Presumed consent since 1992, unless you or relatives object.
Opt-out since 2017. Saying no takes a notarised form.
Opt-out; 19.4 donors per million in 2024, top of the region.
Opt-out since 2011; you say no when you renew your ID card.
Ley Anita 2018: every adult 18+ is a presumed donor.
Opt-out since 1979. 51.9 donors per million in 2025, world No. 1.
Ley Justina 2018: every adult 18+ is a donor unless they said no.
3.3 million adults are listed as donors because they never chose.
Opt-out since 2010, yet 59% of families still refuse.
Opt out and you drop down the list if YOU ever need an organ.
England since 2020: you're a donor unless you opt out. US: opt in.
Everywhere not listed here, Organ Donation is not required.
Partly mandatory in 10 countries
Opt-out since June 2025, but your family can still say no.
Voters said yes in 2022; opt-out not in force until ~2027.
Opt-out passed in 1999, never switched on. Family decides.
'Tacit consent' in law, but a relative must still agree.
Only Nova Scotia is opt-out (since 2021); the rest opt in.
Opt-out only on new ID cards since 2023; not retroactive.
Opt-out law since 2011, but families decide in practice.
Presumed consent in a 1997 law; no 2025-26 data found.
Opt-out since 2019, but a relative's 'no' still wins.
Opt-out in a 2018 law with a refusal register; rarely used.
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