NHS Blood and Transplant, UK has encouraging news – there were 121 deceased donors from the black, Asian and minority ethnic (BAME) community last year, the highest number to date. The number of donations has increased by 51% in the last five years. Donor ethnicity plays an important role in a successful transplant. But relatively few people from BAME backgrounds sign up, resulting in a disproportionate number of minorities on transplant waiting lists. In all, 32% of those on the waiting list were from BAME backgrounds, though about 13% of the general population is BAME. Just 8% of all deceased donors were from these communities last year. The data also revealed that only 42% of BAME families agreed to organ donation by a deceased relative when asked in hospitals, compared with 71% of families from a white background. The most common reasons given for refusal among BAME groups is not knowing if a relative wanted to be a donor, or religious and cultural beliefs. When families do not have a discussion or conversation about organ donation, it is a lost opportunity to save lives.