Yes, organ and tissue donation is considered only after all life-saving efforts have failed and it is certain you will not survive.

Anyone can be a potential donor regardless of age, medical condition or sexual orientation. Even individuals with serious illnesses may sometimes be donors. All potential donors are evaluated on an individual, medical, case-by-case basis. The oldest Canadian organ donor was 92 and the oldest tissue donor was 104. Don’t rule yourself out.

Most religions support organ and tissue donation as an act of life saving. If you are unsure, talk to your spiritual advisor.

Tissue donation is possible for nearly everyone, even when organ donation is not possible.

Individuals who are not eligible to donate blood may still be considered for organ or tissue donation.

Living donation may be possible following a thorough assessment process. Living donation options include donation of a kidney, part of the liver or part of a lung.

Find out how to become a living donor here.

“Opt-out” (presumed or deemed consent) is a legislated donation system where every adult who dies is considered to be an organ and tissue donor unless they have registered to opt out of donation.

Overall, evidence indicates the consent model is only one component of a successful organ and tissue donation system. The foundation elements for a high performing organ donation system include:

• Dedicated deceased donation leadership,
• Donation physicians and specialists,
• Required / mandatory referral legislation,
• DCD (donation after circulatory death) implementation,
• Professional education for critical care community and donation professionals linked to leading practice and clinical guidelines,
• Data and analytics to inform system and performance improvement including death audits and the identification of missed donation opportunities; and
• Public education and awareness.

Donation happens at a time of tragedy. At that time, we ask the family if they are aware of any change in their loved one's decision and honour their wishes as a registered organ donor. Often, when a family sees a copy of the signed registration form it provides relief and comfort and helps them to move forward in fulfilling their loved one's wishes. It is important to have a conversation with your loved ones so they are confident when asked about organ donation.

In a time of tragedy, a conversation with your family will take place. They will be asked to provide consent saying they have been informed and agree with the donation process.​ It is also your family members who will be asked to answer the medical and social history questionnaire as part of the screening process, which is not possible if the family disagrees with donation. Because of this, it’s very important to talk about your wishes with your family. Tell them what you want to happen when you die. Family members will feel better about their decision if they have talked to you and know what you want.