Guidelines for living donor liver transplantation in India

Hospital is a multi and super specialty hospital and is a registered organ transplant centre as per the provisions of Section 15 of the Transplant of Human Organs Act, 1994 (THOA) and all the organ transplant surgeries in the Hospital are carried out only as per the provisions of the THOA.

1. The patient, donor & donor’s next of kin also has to come to Hospital to appear in the Authorisation Committee meeting to get the legal clearance to undergo Liver Transplant surgery, which is a legal requirement and is mandatory for all the patients. (The donor’s next of kin can be spouse- if donor is married, parents –if donor is unmarried, Siblings –if the donor is unmarried and parents not available).
   In case if the donors next of kin is not able to come to India, a video conference should be done on the day of authorization committee meeting at Hospital to record their consent for the donors surgery.

   • As per the law, the donor should be a near relative of the recipient (The patient).
     The definition of the term “near relative” means spouse, son, daughter, father, mother, brother, sister, grandfather, grandmother, grandson or grand daughter.
   • If the Donor is married –presence of spouse is necessary.
   • If Donor is unmarried – presence of Father OR Mother is necessary
   • In events of Father OR Mother not alive, Brother, Sister/ Son/ Daughter should be present (above the age of 18years).
2. Relationship between Donor/Patient/Donor’s next of kin needs to be established through any of the following documents;
   • Passport
   • National ID card/ Nationality certificate
   • Birth certificate
   • Marriage certificate
   • Driving license
   • Family card/ Family registry
   • Or any other proof like, certificate along with attested photographs from court/concerned Govt. Department/ high commission of their country.

3. If the donor is not a near relative (any relative other than –Father, Mother, Brother, Sister, Son, Daughter) the following documents are necessary.

   • Bank statements 2year OR Affidavit stating income OR Letter from employer stating salary. The document has to be attested by the concerned authority (court/Notary/concerned Govt. Department/ high commission of the country)
   • Proof of unfit donors in the family
     *(This means proof explaining why patient’s blood relatives/ first degree relatives like Patients wife, children, brothers, sisters, Father, mother are not donating. The proof can be Blood group report OR any other medical reports explaining the reason for being unfit for donation OR Medical certificates –on illness/not able to travel
     /donate.)
   • FAMILY TREE demonstrating the relationship between the Patient, Donor and the Donor Close Relative. The document should contain passport size photograph of the Patient, Donor and the Donor Close Relative and it should be attested by the court OR high commission of respective country.
   • Documentary evidence to prove the claimed distant relationship. The ID proofs, Birth certificate, Marriage certificate& Family photographs of all the individuals involved in the relation.
   • Old family photographs (minimum 4-5 different old photographs), showing recipient, donor and donor’s near relative. The photographs should be minimum 3-4 years old.