It is universally agreed that currently the best treatment for end stage organ failure is transplantation. Although the rate of organ donation from both living and deceased donors have increased over the past few years however, the current rate of organ donation is still by far not enough to meet the demand. Life donation is the main option for transplantation in MESOT countries but this is only viable for kidney and to some extant to liver transplantation.

Although the life donation is considered safe for both the kidney and liver there is still a significant rate of morbidity and to some extant mortality associated with the procedure. Moreover, life donation cannot be used for many organs such as heart. Alternatively, deceased donation can supply all the organs needed and if it is utilized properly will be sufficient to eliminate or reduce the waiting list and the suffering of many. In the ME region the effect of religion is more prominent than the Europe and North America while in Japan the transplant is affected by social and ethnic barriers. In Lebanon there is a semi universal agreement among the leaders of the main religions on accepting deceased donor transplantation. However, this acceptance is not filtered down to the general public. Moreover, within the same region and even within the same religious sect some Olma are with the program while other still oppose vigorously. Each group cites different versus from their own holy book to support their argument. It thus essential to form a universal consensus on religion views on deceased organ donation which will be acceptable at least to the majority.