The Netherlands is a founding Eurotransplant member, home to its headquarters in Leiden, and a European leader in living donation and paired exchange programs.
The Netherlands coordinates organ donation through the Dutch Transplant Foundation (NTS), with deceased-donor organs allocated through Eurotransplant, whose headquarters sit in Leiden. The system is transparent, rigorous, and highly trusted.
Since 2020 the Netherlands uses an active donor registration model: every adult is registered with a default of "no objection" unless they record a different choice, an opt-out style framework that supports donation while preserving personal choice.
The Netherlands is a European leader in living donation and paired exchange. If your willing donor is incompatible, Dutch exchange programs are among the most advanced in the world at finding a compatible match, and the organ is always a free gift.
Every pathway below is legal, regulated, and coordinated by national or European medical authorities.
Registration on the national waitlist, with organs allocated through Eurotransplant by medical need and compatibility.
A family member or friend may donate a kidney or part of a liver, with rigorous donor protection and evaluation.
Incompatible donor-recipient pairs are matched with other pairs, so both patients receive a compatible organ.
Access to care depends on residency, insurance, and applicable cross-border rules, never on paying a broker. A licensed specialist can review your situation and explain exactly which legal pathway applies to you in the Netherlands.
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