SUM M ARYThe continuing shortage of transplant organs is a m ajor concern for both medical staff and the UK public. M edia interest has grow n recently with the prospect of using anim al organs as spare parts. Even if this procedure is fully developed and rati® ed by the relevant authorities, it is not likely to become a routine procedure for at least another decade. U ntil then, procuring greater numbers of cadaveric organ donors is the main hope for those w aiting for heart, liver and lung transplants. Those people awaiting a kidney transplant have the alternative of a live donor, although the prevalence is relatively low . The inadequate training provided for m edical staff in dealing with grieving relatives and m aking a request for organs is w ell docum ented. This is re¯ected in the high number of refusals from relatives of potential donors and the reluctance of some staff in approa ching fam ilies of potential donors. Clearly there is a need for some training in this area that deals w ith the fundamental principles of understanding the grieving process and using this inform ation in m aking a sensitive approa ch to the fam ily for organ request.Corresponde nce: M r Gurch Randhawa, Lecturer in Epidemiology,