Organ preservation and procurement: Edited By Eytan MorThe implications of Istanbul Declaration on organ trafficking and transplant tourismDelmonico, Francis LAuthor Information Harvard Medical School, Massachusetts General Hospital, Transplant Center Boston, Boston, Massachusetts, USA Correspondence to Francis L. Delmonico, MD, Professor of Surgery, Harvard Medical School, Massachusetts General Hospital, Transplant Center Boston, Boston, MA 02114 2696, USA Tel: +1 617 726 2825; 617 558 6605; fax: +1 617 726 9229; e-mail: firstname.lastname@example.org Current Opinion in Organ Transplantation: April 2009 - Volume 14 - Issue 2 - p 116-119 doi: 10.1097/MOT.0b013e32832917c9 Buy Metrics Abstract Purpose of review Organ trafficking, transplant tourism and transplant commercialism are now defined by the Declaration of Istanbul; the Declaration provides principles of practice based on those definitions. Organ trafficking and transplant tourism should be prohibited because they violate the principles of equity, justice and respect for human dignity. Recent findings This report provides a country-by-country description of current events that may effect the practice of transplantation internationally for the foreseeable future. Summary The implications of the Istanbul Declaration are profound. It calls for a legal and professional framework in each country to govern organ donation and transplantation activities. It calls for a transparent regulatory oversight system that ensures donor and recipient safety and enforces the prohibitions of unethical practices. Governments should ensure the provision of care and follow-up of living donors be no less than the care and attention provided for transplants recipients. © 2009 Lippincott Williams & Wilkins, Inc.