In response to persistent donor organ shortages, organs from marginal donors, such as expanded criteria donors (ECD) and donation after cardiac death (DCD) donors, are now accepted and have been successfully transplanted, reducing the waiting times for transplantation. Especially in Japan, transplantation of DCD kidneys has a relatively long history because of the difficulty or lack of national consensus in accepting brain death, which has made it possible to accumulate considerable clinical experience. Thus, the current organ shortage has stimulated interest in the use of marginal donors for transplantation.

1 History of Marginal Donors in the World.- 2 Management of Extended Criteria Donors.- 3 DCD for Heart Transplantation.- 4 ECD for Heart Transplantation.- 5 How to Initiate DCD Program for Lung Transplantation.- 6 DCD for Lung Transplantation.- 7 ECD for Lung Transplantation.- 8 LD for Lung Transplantation.- 9 How to Initiate DCD Program for Liver Transplantation.- 10 DCD for Liver Transplantation.- 11 ECD for Adult Liver Transplantation.- 12 LD for Liver Transplantation.- 13 How to Initiate a DCD Programme for Kidney Transplantation.- 14 DCD for Kidney Transplantation.- 15 Machine Perfusion Preservation for Kidney Transplantation.- 16 ECD for Kidney Transplantation.- 17 LD for Kidney Transplantation.- 18 DCD for Pancreas Transplantation.- 19 ECD for Pancreas Transplantation.- 20 LD for Pancreas Transplantation.- 21 DCD for Islet Transplantation.- 22 ECD for Islet Transplantation.- 23 ECD for Small Intestine Transplantation.- 24 ABO-Incompatible Donor.