At least 10 people die every day waiting for a major organ, for example a heart, lung or kidney, due to the massive organ shortage across Europe, with transplant waiting The list grows, it is necessary to take radical measures. The author of this simple will define what organ donation is, however the purpose of the essay is to compare and contrast the two organ donation systems, the opt-in and opt-out system. The focus of the essay is on cadaveric donors (beating heart donors and non-beating heart donors). The author will also go on to explore their personal views on organ donation, before and after research on the topic, and then reflect on how those views may have changed. Organ donation is defined as the donation of a biological tissue or organ of the human body, from a living or deceased person to a living recipient in need of a transplant. Organ procurement is carried out in accordance with the Human Tissue Act (2004) which “regulates the removal, preservation, use and disposal of human bodies, tissues and organs,” (DOH, 2004). Organ donation is a complex matter, involving factors such as ethical, legal, organizational and social factors. Much of the debate around organ donation concerns the issue of consent/autonomy and trying to find ways to increase the number of potential organ donors. Do we choose to preserve the rights of the dead or those of people who suffer? Throughout Europe, two systems exist in practice, namely presumed consent (opt-out system) and informed consent (opt-in system). Although the two systems are different in practice, the main goal is the same, to increase the number of potential donors, who would in turn write up... half the paper... and discuss the problems. This could lead to viewing organ donors as the norm rather than the exception. Under the opt-in system, an organ is an altruistic act, a gift I agree with the ethical questions in medicine of Professor John Saunders of the Royal College of Physicians, who advocates a "mandatory choice", i.e. a legally mandatory decision, in which All adults are required by law to express their wishes regarding their organs after death. I believe that if a person wants to become an organ donor they should make the effort to make their wishes known by taking the necessary steps to register. As for both systems, I don't see the point of their existence if your family can ignore your decision. In conclusion, this essay has examined the organ donation systems practiced across Europe, the opt-in and opt-out systems, and how they influence organ donation rates.