Each year, the individuals and organizations in the U.S. organ donation, procurement, allocation, and distribution system work together to provide transplants to many thousands of people, but thousands more die before getting a transplant due to the ongoing shortage of deceased donor organs and inequitable access to transplant waiting lists. Realizing the Promise of Equity in the Organ Transplantation System, a new consensus study report from the National Academies of Sciences, Engineering, and Medicine's Committee on A Fairer and More Equitable, Cost-Effective, and Transparent System of Donor Organ Procurement, Allocation, and Distribution, provides expert recommendations to improve fairness, equity, transparency, and cost-effectiveness in the donor organ system.Table of ContentsFront MatterSummary1 Introduction and Study Context2 The U.S. Organ Transplantation System and Opportunities for Improvement3 Foundations for a Trustworthy Deceased Donor Organ Transplantation System4 Confronting and Eliminating Inequities in the Organ Transplantation System5 Saving More Lives and Enhancing Equity with Deceased Donor Organ Allocation Policies6 Improving Procurement, Acceptance, and Use of Deceased Donor Organs7 Measuring and Improving System PerformanceAppendix A: Public Meeting AgendasAppendix B: IOM and National Academies Solid Organ Transplantation ReportsAppendix C: Biographical Sketches of Committee Members and Staff