This article reviews the evolution, growth, and impact of a structured organ recovery program on transplantation in Louisiana and discusses the clinical, social, and financial factors that influence the acceptance of organ transplantation as a viable treatment option for organ failure which once led inexorably to death. The rising number of organ donations and the formulation of strategies to increase these numbers to meet the growing need are examined. Enactment and enforcement of state and federal legislation making organ donation and transplantation available and safer have led to advances in organ donation, procurement, informed consent, and organ preservation, a technology that makes the use of cadaveric organs possible and durable.
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