chennai as transplant procedures gain momen um across the country doc ors are beginning to increasingly rely on donor organs to save lives not everyone needs the cut or a new organ said senior whitecoats express ng concern over the rise in such surgeries around 600 liver surgeons congregated in the city on friday to discuss diagnos s and treatment of acute liver failure a condition often reated with liver transplan ation only 30 of these patients would really need a donor organ the rest can be treated with proper medical intervention said dr mohamed rela director institute of liver diseases and transplantation global hospitals acute liver failure is caused by overdose of cer tain medication hepatitis and other viruses herba supplements autoimmune and metabolic diseases dr rela observed that mos doctors are in a dilemma whether to do a transplant or not although we do have a set of guidelines to ascertain patients who need a donor organ they are not strictly followed he said from 2008 to 2015 573 livers were harvested in tamil nadu from cadaver donors with 147 being donated in 2015 alone julia wendon senior hepatologist and consultant intensive care at kings college london said a needless transplant procedure could put an otherwise healthy person on lifelong immunosuppressants kings college in the early 90s came out with a cri teria to decide on when to do a transplant said dr wendon in the uk a patient is assessed by a group of specialists at multiple levels before the nod is given dr wendon who has been actively campaigning against unnecessary transplant procedures said with close to 80 of the liver being donated by live donors several ethical issues come to the fore as well there is a lot of psychoical pressure on the do logical pressure on the donor the recipient may be a close family member and they feel its their obligation to donate said dr rela