Which countries have opt-out organ donation?

How organ donor consent (also searched as presumed consent) is treated in 22 countries, from sources last checked September 2026. Choose a country for its classification, the source, and how its neighbours compare.

  • Opt-out (presumed consent) 10 countries (45%), including United Kingdom, Colombia, Spain and Argentina.
  • Opt-in (explicit consent) 11 countries (50%), including India, United States, Brazil and Japan.
  • Varies by region 1 country (5%): Canada.

Opt-out (presumed consent) 10

Opt-in (explicit consent) 11

Varies by region 1

About this data

Compiled from Wikipedia: Organ donation, https://www.organdonation.nhs.uk/uk-laws/; sources last checked 17 September 2026. The full dataset is available as JSON.

More on body & life

A visual reference compiled from Wikipedia’s law-by-country articles, not legal advice. Laws change and summaries simplify — check a primary source before relying on anything here.