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Organ donation law in Wales

The legislation for Wales is ‘deemed consent’. This means that if you haven’t registered an organ and tissue donation decision (opt in or opt out), you will be considered to have no objection to becoming a donor.

You can still opt in to the register if you want to do so, but it is not required in order to give consent for donation.

You can also nominate up to two representatives to make the decision for you. These could be family members, friends, or other people you trust, such as your faith leader.

This legislation was introduced in December 2015.

Your choices

If you want to be a donor

If you want to be a donor, you can either register to be a donor (opt in) on the NHS Organ Donor Register or do nothing.

If you don't record an organ donation decision

If you don't record an organ donation decision (opt in or opt out), we will regard you as having no objection to donating your organs. This is called deemed consent. 

If you do not want to be an organ donor

If you do not want to be a donor, you can register not to be a donor (opt out) on the NHS Organ Donor Register.

Nominate a representative

If you don't want to make an organ donation decision yourself, or if you have specific instructions, you can appoint someone to make that decision for you.

Tell your family and friends

If you live in Wales, it's still very important that you discuss your organ donation decision with your family and friends so it doesn't come as a surprise to them, and they can support your decision. 

More information



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