Objectives: Japan is currently considering changing its long-standing
policy of banning most organ transplants. This paper reviews the curre
nt state of organ transplantation in Japan and presents results from a
recently conducted survey regarding attitudes toward the removal of o
rgans from brain-dead donors, and potential methods of allocating thos
e organs in a fair manner. Methods: Survey data were collected by the
Research Project Team on Network Systems for Organ Transplants funded
by the Japanese Ministry of Health and Welfare. The sample consisted o
f 1093 randomly selected citizens. Predictors of attitudes supporting
organ transplantation were analyzed using logistic regression. Results
: Although many Japanese people support organ transplantation, few are
willing to donate their organs. General knowledge of transplantation
was the best predictor of support for such a program and willingness t
o donate organs. In addition, younger respondents and male respondents
were more likely to support programs and donate organs. Implications
of these results are discussed.