Australia is a country of 25.7 million people. The median age is 37 years – up 2 years since 1999. Whilst its population is predominantly of European background, immigrants make up 29% of the population, a higher proportion than any other nation over 10million people. In recent time, increasing numbers of migrants have come from Asia, so that > 10% of the population has an Asian background. From a political and administrative perspective, it is a secular country, but it is predominantly Christian in its traditions with greater than 50% being Christian, 30% have no religion and Muslims, Buddists and Hindus making approximately 2% each of the population. Strategies to improve organ donation in Australia is focused predominantly on community engagement and capacity building within the health system. Engagement with the community has focused on education and encouraging people to communicate their wishes regarding being an organ donor with family members. Also, the benefits to the community in promoting social cohesion and transplantation as a lifesaving procedure is stressed. In a multi-ethnic society such as Australia, the challenge has been cultural and lack of understanding rather than religious. This is especially so in non-English speaking communities. Hence there is a focus on education, which begins in schools, and highlighting the transparent allocation system and the excellent outcomes from transplantation. This transparency promotes trust and a knowledge that organs are allocated equitably and based on need. All the major religions support deceased organ donation and Australia is a good example of a Western country that improved its poor organ donor rate by focusing on increasing the capacity and capability within the health system. In 2006 the National Task Force for Organ and Tissue Donation was established which identified that organ and tissue donation policy in Australia was fragmented and organ donor rates were falling due to the lack of a coordinated national approach. This led to the development of a national reform agenda with the aim of 1. Increasing the capability and capacity within the health system to maximize donation rates and 2. To raise community awareness and stakeholder engagement across Australia to promote organ and tissue donation. It contained several key components including the establishment of; a National Authority and Organ and Tissue Donation Agencies, the funding for hospital based specialists, systematic audits of hospital deaths, a professional education program and establishment of professional standards, a public awareness campaign and adequate donor family support. The transition from dispersed groups of committed clinicians to a national professional organization run to professional standards and international benchmarks had an immediate impact on the organ donor rate, with a 124% increase in deceased donors from 2009 to 2018. In Australia where there was broad community acceptance of deceased donation, substantial improvements in donor rates could be achieved through the establishment of a well-funded national authority whose task was to co-ordinate organ donation throughout the country, educate professionals in organ donation, set performance benchmarks and promote organ donation to the public. This importance in educating the medical profession and engaging with intensive care specialists to establish and increase deceased organ donation should not be underestimated.