Today, organ transplantation from deceased donors increase. Isfahan society of transplantation is one of the main societies in the Middle East. From May 2000 to May 2008, 372 brain death were reported in Isfahan, 92 of them were harvested for their organs and the other did not fulfill donor criteria for transplantation or we did not have their relative consent forms. From 92 deceased donors, 165 kidneys were transplanted in Isfahan, in three cases enblock kidney transplant were performed. 8 kidneys sent to Shiraz because Isfahan nephrology group did not permit to transplant for 6 and we did not found any iso group recipient for 2. We could not use 8 harvested kidneys for transplant; 3 affected by prolong ischemic time, unilateral severe renal necrosis in one that we did not use the contralaterl kidney, two polycystic kidney disease and one donor was Hbs Ag+ we found only one Hbs Ag+ recipient. Although we did not use kidneys from these 8 donor, other organs like heart and liver were transplanted. In the last 8 years 165 kidneys, 12 hearts, one liver and one lung were transplanted in Isfahan. 8 kidney, 37 liver and 3 pancreases sent to Shiraz. One pancreas sent to Tehran. In conclusion, the main factors in organ transplantation from deceased donor are detection of brain death cases, good donor maintainance and