A new link in the continuous success story of medical science has extended to Nepal. One kidney and liver of Dorjeman Tamang, who was declared brain dead during treatment at Kathmandu Medical College, has been transplanted into a male and the other kidney into a female.

It is the first time in Nepal that a kidney and a liver taken from a brain dead patient have been transplanted into the same person. This transplant, which was initiated by the Bhaktapur-based Human Organ Transplantation Center, has given new life to two more people from organs that can be left as ashes after death. It also illustrates the efficiency of Nepali doctors and the quality improvement in health care in Nepal.

Along with this, even after 'death', it contributes in a small way to liberalize the Nepali society, which is still open to organ donation. The government should adopt a practical policy to motivate the family members of the brain dead people to donate organs, arrange the useful organs so that the needy people can get them and make this process transparent. 

There is a statistic that 4/5 people die brain dead in vehicle accidents in Nepal every day. Eight organs can be obtained for transplantation from a brain-dead person: two kidneys, two lungs, one liver, one heart, one pancreas, and one small intestine. On the other hand, more than 30,000 kidney sufferers are waiting for organ transplant across the country. The waiting list for other organ transplants is also significant. Therefore, it is necessary to make organ transplantation as easy and widespread as possible.

For the first time in Nepal, two kidneys were transplanted from a brain-dead person on 28 May 2074. So far, out of 6 people with brain death, 12 people have received kidney transplant and 4 people have received liver transplant in total 15 people. But the fact that it is possible to transplant organs from only 6 people in 8 years is a thought-provoking topic in itself. It is also confirmed that there are problems in the process of obtaining organs from brain dead people and donating them to people waiting for organ transplants. It needs to be resolved.

In case of kidney failure, the patient should undergo regular dialysis. The government has made dialysis free twice a week. Dialysis, which is considered a temporary solution, costs the government more than 4 billion rupees annually. Whereas, transplant is the last option for patients with kidney failure. If the government arranges organ transplants for brain dead patients, the patients will get a relatively sustainable solution and the government's budget will also be saved. On the other hand, the Transplantation of Human Body Organs (Regulation and Prohibition) Act, 2055 provides that only family members can donate organs. But not all patients are guaranteed to have an organ 'match' with a family member. That is why they are in trouble. Therefore, it is necessary to encourage and facilitate organ procurement and transplantation of brain dead people.

Human Body Organ Transplantation (Regulation and Prohibition) Act, 2055, Section 17A provides that a priority list of organ recipients should be made. Similarly, in section 17b, it is said that the government will appoint a coordination unit for the purpose of organ removal of a person who has been declared brain dead, preservation of the removed organ, keeping the record of the person who needs an organ transplant and arranging the distribution of the received organ according to the priority order as specified.

Human Organ Transplantation Center, Bhaktapur is currently working as the Coordinating Unit. However, the law envisages a permanent and comprehensive structure. If a national priority list were to be created, every patient would be automatically informed about their turn and the possibility of receiving an organ. The entire process could have been transparent. For example, although it is positive that a couple of people will be resuscitated from Dorjeman's kidney and liver, it is not clear when other people waiting for their turn will get such an opportunity.

The subject of organ donation by families after brain death is a great generosity. For that, the state can encourage, make policies, debate and generalize. This requires awareness raising and policy change. Also, there are those who are of the opinion that why go to the trouble of organ donation when a relative is dead/brain dead. For this, the government has given two lakhs to the families of organ donors and 75,000 to the organ donor hospital. It is also necessary to bring other incentive programs. Along with