Nowadays knowledge and ability of organ transplantation increases life expectancy and quality of life in patient with progressive organ failure. Organ transplantation programs have also developed a lot in past 2 decades. In this condition, consultation with psychiatrists has an important role to help patients and their families to comfort with their psychological problems. Patients in waiting list experience more anxiety and depression than others. It seems that being longer in waiting list affects more on health and daily function. We conducted a cross-sectional survey among 352 patients in waiting list for organ transplantation whom they had psychiatric consultation before operation. Screening &diagnosis of psychiatric disorders was based on DSM IV criteria. We extracted some data about transplantation in receiving contraindications and their treatment from their consultation papers and files. Finding: Although 231(56%) from 352 patients had no psychiatric disorders,121(34%) had disorders such as depression, anxiety, mixed anxiety & depression, post traumatic stress disorder (PTSD), addiction & other disorders in axis I From this 121 patients only 58(46%) received treatment for 39 patients and consultation 19 patient and 63 patient didn't receive any treatment. In conclusion, patients with progressive organ failure are affecting by psychiatric disorders about 3 times more than normal population & only less than half of them receive sufficient treatment.