The outstanding progress made in clinical transplantation during the last decades has greatly increased graft and patient survival. Equivalent advances in immunosupression and research in graft tolerance could provide a brighter future for thousands of human beings. Unfortunately, however this wonderful prospect is today undermined by the shortage of cadaveric organs for transplantation, a tragic dilemma inherited from the 20th century especially for the developing countries. The dramatic increase in the number of patients on waiting lists and the stagnation of organ transplantation worldwide have resulted in today’s cruel reality: thousands of patients are “unfairly” dying every year while waiting for a cadaveric organ. The organ shortage is a social, psychological, ethic, m and probably legal and political problem of the 21st century. It must be solved as soon as possible to save lots of life ; and transplant coordinators are very important corner stone on this way. There are 46 organ procurement and 20 organ sharing transplant coordinators in Turkey in 2005. There were only 5 organ procurement coordinators in 1998 and no organ sharing coordinators. In 1998 and 2005 cadaveric organ rates was 0.44 pmp and 2 pmp respectively in Turkey. According to Transplantation Society held in Rome, August 2000. (more than 25 donors pmp ); there should be 1675 donors in Turkey but we had only 136 for 2005 and it was 49 in 1999. We orginased 4 transplant coordinators course at Akdeniz University since 2002. There were 27 participants at the first one from different hospitals, but unfortunately 13 of them could work as a transplant coordinator in their hospital after course. The numbers of cadaveric donors at these hospitals and Turkey increased 34 % and 12 % respectively according to 2001. In 1999 there were only 3 TCs but in 2001 14 hospital had actual transplant coordinator (TC) and 12 of them were a transplant center. In 2005 There are 66 TCs in Turkey and 4 of them certificated by ETCO. 13 non-transplant center have an actual transplant coordinator. All TCs certificated by Transplant Coordinators Society of Turkey. There are good transplant coordination systems in Antalya and Ýzmir as a city and also at the Aegean part as a region. Antalya, Ýzmir, Aegeanregion and Turkey’s cadaveric donor procurement rate were 20 pmp ,17,2 pmp ,7,5 pmp and 2 pmp in 2005 respectively. 10 of TCs situated in Antalya, 12 of them in Ýzmir and 17 of them at Eagean region. In general, the argument runs for transplant coordinator “if you can do it, then you must”. We can save life and present a better life quality with solid organ and tissue donation.