What is the organ donation system called in Wales?

• A. 'Opt-out'
• B. 'Opt-in'
• C. 'Mandatory'
• D. 'Voluntary'

Answer: (A)

Opt-out consent means donation is presumed unless a person has actively registered to opt out. In Wales, this approach—often described as deemed consent—allows organs to be donated after death if there’s no recorded objection, while still respecting medical suitability and, importantly, taking the family’s views into account. If someone wants to avoid donation, they can opt out in advance. This contrasts with an opt-in system, where people must actively sign up to donate; it also isn’t about compulsion (mandatory) or simply volunteering without any presumption (voluntary).