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The Lutheran Church-Missouri Synod encourages organ donation as an act of Christian love, but this choice is entirely up to the individual and/or his or her family, and should not be a cause of guilt or regret no matter what decision is made. The Bible has nothing specific to say regarding this issue. Therefore, it is a matter of Christian freedom and personal (or family) discretion.

In 1981, the Synod adopted the following resolution: To Encourage Donation of Kidneys and Other Organs Resolution 8-05:
Whereas, we accept and believe that our Lord Jesus came to give life and to give it abundantly (John 10:10); and

Whereas, through advances in medical science we are aware that at the time of death some of our organs can be transplanted to alleviate pain and suffering of afflicted human beings (see Galatians 6:10); and

Whereas, our heavenly Father has created us so that we can adequately and safely live with one kidney and can express our love and relive the unnecessary prolonged suffering of our relative; and

Whereas, we have an opportunity to help others out of love for Christ, through the donation of organs; therefore be it
Resolved, that our pastors, teachers, and Directors of Christian Education be encouraged to inform the members of The Lutheran Church-Missouri Synod of the opportunity to sign a Universal Donor Card (which is to authorize the use of our needed organs at the time of death in order to relieve the suffering of individuals requiring organ transplants); and be it further

Resolved, that we encourage family members to become living kidney donors; and be it further

Resolved, that the program committees of pastors and teachers conferences be encouraged to include “organ and tissue transplants” as a topic on their agendas; and be it finally

Resolved, that the Board of Social Ministry and World Relief seek ways to implement this program so that the entire Synod may join in this opportunity to express Christian concern.