Ethical and economical appreciation of living nonrelated donors renal transplantation from outside Turkey

For patients with chronic renal failure organ demand has increased all over the world. Serious ethical problems have appeared with attempts to increase the number of organs from both living and cadaveric donors. The demand for transplantable organs is greater than the supply. The increasing number of patients waiting for transplantation has forced them to illegally obtain organs from living nonrelated donors (LNRD). This effort can result in serious complications for both recipient and donor. According to our regulations, commercial transplantation has been prohibited in Turkey, because of the possibility of abuse by an organ trade. In this study, we examine the complication, economics, and ethics concerning six patients operated outside our country.