One Waiting List Instead of Twelve Hundred: e-Pratyaropan and the Allocation Problem in Organ Transplant

Article summary

The National Organ and Tissue Transplant Organisation launched the e-Pratyaropan portal along with a NOTTO mobile application on 3 August 2026, creating a unified digital system for organ donation and transplantation. Where hospitals previously maintained largely separate transplant databases, the portal brings hospitals, State authorities and NOTTO onto a common platform covering registration, waiting-list management, organ allocation and monitoring. It automatically generates waiting lists at hospital, State, regional and national levels, enabling organs to be matched and allocated in real time, and strengthens coordination between NOTTO, the Regional and State Organ and Tissue Transplant Organisations and around 1,200 registered hospitals. The platform is live though some modules remain to be rolled out over the following two months. India has crossed 20,000 transplants in a year and more than five lakh Aadhaar-verified donation pledges, ranking third globally in transplant numbers.