Yes to the system change. What do I have to do if I don’t want to donate organs?

There is no age limit for organ donation. The extended objection solution will be binding for persons aged 16 and over.


The Swiss population has decided: Anyone who does not want to donate their organs must expressly declare this during their lifetime. But when exactly will the new regulation come into force? And how do I record my opinion?

What exactly is changing now?

Instead of the consent solution, the objection solution now applies to organ donation. This means that anyone who does not want to donate their organs must make this known before they die. As before, however, the next of kin are heard if the patient’s wishes are unclear. In this case, you can make the decision in favor of the deceased.

When will the paradigm shift take place?

In order for the extended objection solution to be enforced, the federal government must adapt the legal basis, the Transplantation Act. The Federal Office of Public Health assumes that the change will Not in 2024 comes into effect.

And the new organ donation registry?

The federal organ donation register, which is now to replace the Swisstransplant register, also has its legal basis in the Transplantation Act. This means: The register will be made available to the public when the law comes into force.

Can I only state in the register that I do not want to donate organs?

No, in the register you will be able to indicate both your consent and your objection.

What can I determine?

If you consent to organ donation, you can also decide which organs and tissues you want to donate. Heart, lungs, liver, kidneys, small intestine and pancreas can be donated in Switzerland. Tissues such as corneas, blood vessels or heart valves can also be transplanted. In future, you can also nominate a person you trust in the register who should make the decision after your death.

I want to make my will known now. What are the options?

The usual way up to now was the register of Swisstransplant. However, the online version was discontinued due to security concerns. You can still do one organ donation card obtain from Swisstransplant. Another option would be a living will to create or record your attitude in the electronic patient file. “In principle, one is enough Post-it notes on the fridge or a note in your wallet,” writes Swisstransplant on request. In addition, it is important to have your own will relatives to share. Because they have to make the decision in the interests of the person if their will is not known.

The formulations in a living will should better be clear and free of contradictions.
A living will is also a way to record your wishes regarding organ donation.

Silvia Marks/dpa-tmn

What if I change my mind?

You can change your mind at any time, or adjust your organ donation card or living will, or tell your family about your change of mind.

I am already registered in the current register. Will that be taken over?

According to the BAG, it has not yet been finally clarified whether the entries from the current Swisstransplant register will be adopted.

What is the federal government doing to ensure that nobody misses the start of the new regulation?

The BAG is planning a major campaign to raise public awareness of the new regulation. For that one will communication agency committed, moreover, that should Budget for the organ donation campaign in the first three years from around 1.5 million francs annually by one million elevated will. Also general practitioners, drugstores and pharmacies should be included in the campaign. In addition, the BAG is planning an additional focus on people with a lower level of education or language barriers.

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Who does the new rule apply to?

Only people over the age of 16 are bound by the extended objection solution. at young people and children up to 16 years of age the legal representatives decide whether organs should be donated or not. Also excluded from the new regulation are people who died for a longer period of time incapacitated was.

When can organs be removed?

Organs, as well as tissues and cells, may only be removed if the person brain dead is. Brain death must be diagnosed by two doctors who are not involved in the transplant. One age limit does not exist for organ donation. For ethical and medical reasons, organs are not removed from newborns less than 28 days old. According to Swisstransplant, the oldest organ donor in Switzerland was 88 years old.

I don’t want to deal with it. What happens to my organs in the event of death?

In principle, organs can only be donated if you die in hospital. Even with the extended objection solution, the hospital is obliged consult a patient’s family, when the will of the deceased is unclear. The closest relatives must then decide in your interest. You can also appoint a person you trust to make the decision in the event of your death. If you haven’t talked about the topic and your closest relatives can’t find any clues as to why you should have rejected the organ donation, you are considered an organ donation advocate. If the hospital cannot reach relatives, i.e. if the will is unclear, no organs may be removed.

Organ donation: That’s what the vote winners say

Switzerland receives new regulations for the removal of donor organs. Switzerland is now changing from a consent rule to an opt-out rule for organ donation.