Transplantation, like all medical procedures, carries potential risks forboth donors, recipients and health care personnel. Living donation and associated morbidity and mortalityare documented in living donor registries which, run nationally, are a step toward long-term qualitycontrol in organ transplantation. Such quality control and management should however be a part of allstages of the transplantation process, beginning with donor identification and ending with long-termfollow up of transplant recipients. A whole range of transplantation-related events would be controlled,including organ procurement, handling, risk of disease/malignancy transmission, recipient operation andfollow up. Several international bodies and institutions have formulated statements addressing theseissues. The essential ideas of these documents are focused on protection of human integrity, avoidanceof bodily harm and coercion, exclusion of commercialism, equitable access to transplantation, fairnessof allocation, transparency of the allocation criteria/procedures, competence requirements of the staffand quality management.