The ESOT-Lancet Commission on Transplantation

The ESOT-Lancet Commission on Transplantation: A new vision for Global Sustainability, Innovation and Equity in Organ Transplantation

The ESOT–Lancet Commission on Transplantation brings together leading global experts to chart a new course for transplantation in the 21st century. Our goal is to reposition transplantation not as a niche intervention, but as a strategic health system function aligned with global goals on non-communicable diseases, climate resilience, and pandemic preparedness.

Organ failure is a growing global health crisis. The number of people in need is increasing, yet organ availability, resources, and expertise remain limited and unevenly distributed. Without a clear roadmap, inequalities will widen as new, costly technologies emerge.

The ESOT–Lancet Commission offers that roadmap. It invites governments, health systems, clinicians, patients, and civil society to work together toward a future where transplantation is not a privilege, but a sustainable, equitable, and universal part of healthcare.

The Commission will prioritise actionable recommendations based on empirical data from existing sources and new research, case studies, patient experience, and expert consensus and will include voices from diverse geographies, ensuring that its work addresses global needs. This ambitious mission will require a forum for discussion and sharing lessons from the implementation of these strategies. Therefore, a Global Transplant Health Forum (GTHF) will be set up to ensure continued engagement and to support implementation in countries and regions, and to maintain the focus on transplantation after the work of the Commission is completed.

Co-Chairs

Prof. Elmi Muller, Department of Surgery, Dean Faculty Medicine and Health Sciences, Stellenbosch University, South Africa
Prof. Gabriel C. Oniscu, Division of Transplantation Surgery, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Sweden

The Commissioners

• Elias Mossialos, Department of Health Policy, London School of Economics, UK
• Vivekanand Jha, The George Institute for Global Health, New Delhi, India; School of Public Health, Imperial College, London, UK; Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, India
• Alexander Loupy, Paris Institute for Transplantation and Organ Repair, France
• Dominique E. Martin, Deakin University, Australia
• Beatriz Domínguez-Gil, Organización Nacional de Trasplantes (ONT), Spain
• Benita Padilla, National Kidney and Transplant Institute, Philippines
• Ifeoma Ulasi, College of Medicine, University of Nigeria/ University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Nigeria; Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria
• Deepali Kumar, Ajmera Transplant Centre, University Health Network, Toronto, Canada
• Maarten Naesens, KU Leuven, Leuven, Belgium
• Renske ten Ham, Department of Epidemiology & Health Economics, Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, The Netherlands
• Peter P. Reese, Vanderbilt Center for Transplant Science, Vanderbilt University, USA
• Dorry Segev, Center for Surgical and Transplant Applied Research (C-STAR), NYU Langone Health, USA
• Ole F. Norheim, Department of Global Health and Population, Harvard T.H. Chan School of Public Health, United States
• John Rose, Division of Plastic and Reconstructive Surgery, Center for Health Equity in Surgery and Anaesthesia (CHESA), UCSF, USA
• Daniel Gallego-Zurro, European Kidney Patient Federation, Spain
• Santiago Torales, Committee of Economics on Nephrology, Latin American Society of Nephrology and Hypertension (SLANH), Argentina
• Milka Bengochea, Immediate past director National Transplant Agency, Uruguay
• Wenshi Jiang, The Second Affiliated Hospital, Medical University of Guangxi, China Organ Donation Administrative Centre, China
• Luciano Potena, IRCCS Azienda Ospedaliero Universitaria di Bologna, Italy
• Marta López-Fraga, European Directorate for the Quality of Medicines & HealthCare (EDQM), Council of Europe, France