Organ donation and transplantation is governed by Transplantation of Human Organs and Tissues Act, 1994 (amended in 2014) under National Organ Transplant Programme. Under the existing legislation, the organs of deceased donors can be used for transplant only if the persons, during their lifetime, have given consent or opted-in for organ donation after death. The opt-out system, on the contrary, means the deceased patient is presumed to have consented to organ donation unless proved otherwise.