Every day patients add to the country's wait list to receive organ donations but very few receive it before their time runs out. Even as we see a fourfold rise in cadaveric organ donations in the last five years, it is not sufficient enough to supply the country's demand. Over 2.5 lakh deaths in India are attributed to organ failure annually, while cadaver donations are still very few in comparison.India's organ donation rate in 2016 stood at an abysmal 0.8 persons per million population compared to Spain's 36 per million, Croatia's 32 per million or US's 26 per million. This disparity occurs due to various reasons. Only 10 states and 2 UTs have an active donation and transplant programme. There is also lack of awareness, infrastructural and political will as well as misconceptions about cadaver donation. But many say that problem now lies at hospital level rather than people's acceptance. As Tamil Nadu, Maharashtra, Kerala, Karnataka, Telengana and Gujarat currently lead the way in India, the National Organ and Tissue Transplant Organisation is planning to learn Spain's programme model, which has the world's highest donation rate.