By law the living related donor is defined as genetically related up to the 4th degree (first cousins), spouses and adopted children are also considered as related. Every case has to be well studied and prepared by the transplant team. A psychological evaluation and informed consents from the donor and the recipient are also requested. The case has to be approved by the ethics committee of the hospital. Then the complete file has to be checked and controlled by NOD-Lb before obtaining the final approval from the MOH, regardless of the 3rd party payer or the nationality of the recipient and donor pair.
The MOH has designated national medical and ethics committees to supervise Living Unrelated Donation. The patient has to be registered and stays on the national waiting list for 12 months before being allowed to give up and apply for a living unrelated donation.