Cadaveric organ transplantation is one of the preferred ways of treating patients with end-stage organ failure. Gazi University, Medical faculty, Transplantation Center, Ankara was established on 1996. Since 1996, total number of brain death patients was 22. After January 2006 transplantation division was re-established. Between 1996 to January 2006 there were 6 brain-death patients and 3 family consents. After January 2006 the number of brain-dead patient was increased to 36 and the number of family consent was 16. For all brain-death cases, the rate of consent for donation was 45%. Totally 61 total solid organs (hearts, livers and kidneys) collected in this study period, 80% were transplanted at this center and 20% were offered to the National Coordinating System. Newly developed Gazi University Transplantation division has implemented continuous in-service training programs to improve all health services provided. Also, continuing medical education programs are being instituted in organ procurement and transplantation centers. These training programs enhance staff members understanding of and participation in procedures related to transplantation and improves the total quality of the transplantation process. Thus, brain death patients and family consents increased 300% in only one year. In conclusion, the transplantation process in Turkey is still severely handicapped by organ shortage. The gap between the number of organs available and the number of patients waiting for transplantation continues to expand at an alarming rate. The goal for the future is to create more effective protocols that will increase the consent rate and therefore allow better donor maintenance and higher rates of tissue/organ procurement and use with regard to the transplant coordination activities. Our newly enhanced transplantation activities will hopefully lead to a larger organ pool and shorter waiting lists.