An active local program for procuring organs from cadaveric donors was re-established in Kuwait in 1996 after temporary suspension due to the Iraqi invasion (1990). Organs were procured from 102 cadaveric donors, from 7 Intensive Care Units (ICU), with total capacity of 77 beds. The average number of cadaveric donors were 10/year. This represent only 9 % from the total annual kidney transplant activity. All procured corneas and kidneys were transplanted locally, while the other procured organs (heart, liver, lung, and few kidneys) were transplanted in KSA and other GCC countries.The number of cadaveric donors is limited because of:

1. Delay in reporting.
2. Poor cadaver management.
3. Family refusal.
4. Objection of hospital administration, treating doctors & ICU staff.
5. The dissonance between the Islamic Laws and public per ceptions.
6. Non availability of the budget.
7. Absence of organ procurement department & turned over transplant coordinators.

We believe that all above obstacles can be over come if an “Organ Procurement Department” is established. This will promote living and cadaveric organ donation and will promote the organ exchange programme in GCC region.