What an Organ Procurement Organization (OPO) Is
The specialized teams that manage donation from the bedside to the operating room.
Who Handles the Organ Donation Process
When a patient meets the criteria for organ donation, the hospital contacts a local Organ Procurement Organization (OPO). This is a federally designated non-profit group that operates independently from the hospital staff. Their primary role is to evaluate potential donors and coordinate the logistics of recovery. They handle the complex medical and legal steps required to save transplant recipients.
Coordination Between Hospital and OPO Staff
Hospital doctors focus entirely on the patient's care and attempts to save their life. OPO staff only become involved once death is declared or the family decides to withdraw life support. This separation protects the patient's medical team from a conflict of interest. The OPO assumes responsibility for managing the donor's care once authorization is obtained.
Evaluating Donors and Matching Recipients
The OPO team reviews the donor's medical history and tests their organs to ensure they are safe for transplant. They provide this data to the United Network for Organ Sharing (UNOS), which manages the national waiting list. UNOS uses specific criteria to match organs with recipients based on blood type, tissue match, and medical urgency. The OPO then manages the transport of these organs to the appropriate transplant centers.
Communicating With the Donor Family
OPO specialists are trained to support donor families during an incredibly difficult time. They provide information about the donation process and answer questions about how the organs will be used. They also facilitate the recovery process with sensitivity to the family's wishes. Following the donation, the OPO often provides ongoing grief support and bereavement resources to the family.
Last reviewed August 14, 2026
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