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Germany’s Organ Donations Edge Up in 2025 but Fall Far Short as Hesse Revives Opt-Out Push

Health officials urge people to record donation wishes to spare families difficult decisions.

Overview

  • Germany recorded 985 deceased organ donors in 2025, a 3.4% increase from 2024, according to the DSO.
  • Roughly 3,000 organs were available for transplant last year while about 8,200 people remained on the national waiting list.
  • Hessian health state secretary Sonja Optendrenk supports introducing an opt-out system that treats organ donation as the default unless individuals object.
  • The DSO calls on residents to document their decisions with a donor card or in an advance directive to reduce pressure on relatives at the time of death.
  • The DSO and the Landesärztekammer Hessen held a Frankfurt event featuring recipients and donor families, with identities kept confidential under German law that permits anonymized thank-you letters since 2019.