India's deceased organ donation program has seen significant success primarily in five states - Tamil Nadu, Karnataka, Telangana, Maharashtra, and Gujarat. Over the past three years, each of these states has consistently recorded more than 100 donations annually. In 2024 alone, they collectively contributed 909 deceased donations, accounting for nearly 75% of the country's total donor numbers.

Tamil Nadu led the efforts with a record-breaking 268 donations, marking an all-time high. Although the state experienced a temporary decline in numbers over the past few years, it has now regained its top position. A key factor in this resurgence has been the increased participation of government medical colleges, with a significant number of institutions contributing to the program. Additionally, a policy implemented by the state government to honour deceased donors by the district administration has significantly contributed to enhancing public engagement and awareness.

Since the inception of the deceased donation program, these five states from southern and western India have consistently advanced, while other regions have struggled to maintain momentum. This trend extends to eye donations as well, where these states continue to lead the country.