If you are sick or injured and admitted to the hospital, you will receive the same level of care regardless of donor designation. The doctors treating you are not involved with transplant programs or possible recipients. This fact is both law and ethical medical practice. Donation of organs and tissues takes place only after all lifesaving efforts have been exhausted, death has been legally declared, and donor designation has been confirmed. If an individual did not previously designate their wishes, the next-of-kin would have to give consent before donation could take place.