Gamete donation in assisted reproduction is an accepted treatment opti
on for certain infertile couples. Traditionally, men donating spermato
zoa have been paid a nominal fee, whilst women donating oocytes have n
ot, The issue of payment for sperm donors has recently attracted atten
tion following the Human Fertilisation and Embryology Authority's (HFE
A) suggestion that such payment may be withdrawn. Prior to the final m
eeting of the HFEA working party which is examining this issue, here w
e report the results of a survey designed to solicit opinion on whethe
r sperm donors should be paid, to identify social or other factors whi
ch influence this opinion, and to examine the influence of financial i
ncentive on potential donors. We surveyed 717 individuals in three dis
tinct groups: the general public, students (potential donors), and inf
ertility patients (potential recipients). The majority of the potentia
l donor group (students) was in favour of paying sperm donors, as were
infertility patients. In contrast the general public was not. The opi
nion of the general public on this issue was influenced by their prior
knowledge of whether donors were paid: those of the general public fa
vouring the payment of sperm donors had a prior awareness that such pa
yments were made, Although not in favour of paying sperm donors, the g
eneral public overwhelmingly approved of the use of donated spermatozo
a for the treatment of infertile couples, and thought that ways should
be sought to increase the availability of donor spermatozoa for the t
reatment of infertility and for research purposes, Within the potentia
l donor group (students), the majority indicated that financial reward
was an important factor which would influence their decision to donat
e spermatozoa. As the majority of both the potential recipients and po
tential donors feels that sperm donors should be paid, perhaps the vie
ws of these groups should carry significant weight when the decision w
hether or not to withdraw payment is taken. This is especially the cas
e in view of the fact that the majority of the general public is in fa
vour of the use of donated spermatozoa for the treatment of infertile
couples.