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UNOS brings together organ transplant patients, donor families, transplantation professionals and others in the transplant community with our mission of matching organs and saving lives. Through policy development and implementation, we strive to create a fair and equitable organ matching and allocation system for those in need.

How we develop policy
UNOS Policy


A more flexible system for organ allocation

How multi-criteria decision-making methodologies and big data analytics are helping to design policies

Learn about continuous distribution


“… Policy is the living, breathing expression of group values.”

—Martha Pavlakis, M.D., Vice-Chair, OPTN Kidney Transplantation Committee

The path to new policies that put patients first

Policy development process

We strive for consensus in developing policies for organ allocation and distribution. This collaborative process promotes equity among patients. Learn how transplant policies are developed.

Public comment

Public comment

We want to hear from patients, professionals, donor families, transplant professionals, and anyone else interested in shaping transplant policy. Learn more about public comment and add your voice.

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Compliance resources

Find the OPTN Evaluation Plan, performance management and other resources to ensure you are following OPTN policy correctly.

Organ Procurement and Transplantation Network (OPTN) policies are rules that govern operation of all UNOS member transplant hospitals, organ procurement organizations (OPOs) and histocompatibility labs in the U.S. Policies are made through a collaborative process involving committees, the OPTN Board of Directors and the public. View these policies now or view policy brochures.

OPTN policies

OPTN policies PDF

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