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Peru · MINSA · National Organization of Donation and Transplant
Donating in Peru
Peru operates under Law No. 28189 of 2004, the General Law on Organ and/or Tissue Donation and Transplant, which establishes presumed consent: every person is a donor at death, unless an explicit statement to the contrary
The donation rate is 1.5 donors per million population (pmp) (MINSA, 2025), one of the lowest in the region. The national goal is to reach 5 pmp by 2026
Key figures for Peru
2025 Rate
1.5 pmp
national effective donation (MINSA)
Goal 2026
5 pmp
national donation target
Waiting list
~7,000
people waiting for an organ or tissue
National Day
May 23
National Organ and Tissue Donor Day
Source: MINSA Peru · Peruvian State Platform
The public system
How donation works in Peru
Governing body and law
The Ministry of Health (MINSA), through the National Organization of Donation and Transplant (ONDT), coordinates the Peruvian system. Law No. 28189 of 2004 is the legal framework. The law introduces presumed consent: every person is a donor at death, unless an explicit statement to the contrary during their lifetime.
In 2026, Peru put a new bill to public consultation to modernize donation rules, in response to one of the lowest rates in the region. That is why it remains crucial that your family knows your wishes.
How to express your wishes
- 1
The law presumes your positive intent: you are a donor at death without needing to do any paperwork
- 2
If you want to object: register it with the MINSA or the ONDT
- 3
In both cases, share your decision with your family — family conversation reinforces respect for your wishes
- 4
The national system assigns the organ based on objective medical criteria (compatibility, urgency, time on waiting list)
Living donation
Living kidney donation
Law 28189 provides for living donation, especially kidney donation. EsSalud and MINSA hospitals sustain the country's main transplant programs
Donor requirements
- Over 18 years old, legal capacity
- Related by consanguinity or affinity, spouse, or partner
- Medically, psychologically, and socially suitable
- Non-related: requires authorization and evaluation by the relevant committee
Coverage and protection
- Coverage by EsSalud and MINSA for the public system
- Comprehensive pre- and post-donation care
- Employment protection for temporary disability after donation
- Any financial compensation is prohibited
Main centers
High-complexity hospitals of EsSalud and MINSA, in Lima, with consolidated transplant programs
Hospital Nacional Guillermo Almenara Irigoyen
Lima · EsSalud · Kidney and multi-organ transplant program
Hospital Nacional Edgardo Rebagliati Martins
Lima · EsSalud · Reference hospital for high-complexity transplants
Hospital Nacional Cayetano Heredia
Lima · MINSA · Reference center for kidney transplant
Hospital Nacional Daniel Alcides Carrión
Callao · MINSA · High-complexity care
Ongoing reform
Peru drives new donation rules
"Peru's challenge is to triple its donation rate: from 1.5 to 5 donors per million population by 2026" — National donation goal, MINSA Peru
In 2026, Peru put a new bill to public consultation to modernize organ donation, driven by one of the lowest rates in the region. May 23 marks the National Organ and Tissue Donor Day, a key awareness date promoted by EsSalud and MINSA across the country
Official information
MINSA and EsSalud run periodic campaigns to promote donation
Talk with your family
In Peru, the law presumes your wish to donate. The best way to ensure it is to talk about it at home. You can also read the stories of people who have lived through the process
Verified sources
This page summarizes public information from MINSA Peru and Law No. 28189 of 2004. Medical and legal decisions are yours and your healthcare team's