Record in Tissue Donations - Hospitals Report More Donors - Germany's Tissue Donations Hit Record High—but Heart Valve Shortages Remain Critical

Tissue donations in Germany surged in 2025, with a 15.2% increase from the previous year. Over 9,600 patients received transplants, including heart valves—a record number. Despite progress, severe shortages persist, especially for life-saving heart valves.

The German Society for Tissue Transplantation (DGFG) facilitated around half of all tissue transplants last year, contributing to the rise. More hospitals actively reported potential donors and included tissue donation in their standard procedures.

However, demand still outstrips supply. In 2025, the DGFG could fulfill fewer than half of the requests for heart valves. Around 721 people waited for heart transplants, many also needing valve replacements. The shortage resulted from low consent rates—only 37.9% of relatives agreed, despite 80% of Germans supporting the idea—and families often being unaware of their loved ones' wishes.

Time constraints added to the problem. Hearts must be transplanted within 4-6 hours of removal, and matching donors with recipients depends on urgency, blood type, and tissue compatibility. Wait times could stretch for years, leaving many patients without options.

The DGFG urges people to discuss donation preferences with their families while alive. Clear communication could ease decisions during emotional moments. Last year alone, 4,000 cornea donations were made through their network, demonstrating the impact of these conversations.

The 2025 figures highlight both progress and persistent gaps in tissue donation. While more transplants than ever occurred, thousands still wait for heart valves and other critical tissues. Experts emphasize that open discussions about donation could help close the gap between supply and demand.