Two minutes. One documented yes.
Register →Register
About two minutes. Your decision goes on the record — so it isn't left to a guess in the hardest moment.
Registry
Massachusetts RMV Organ Donor Registry
Massachusetts runs its own donor registry. You can sign up online — it takes about two minutes, and one registered donor can save up to 8↗ lives.
People waiting in Massachusetts
4,170
people currently waiting for an organ transplant
Source: OPTN, July 2026
Looking for a different state? See all 50 states + DC →
Before you decide
“They won't try as hard to save me.”
The transplant team is entirely separate from the team treating you, and isn't involved until after death is declared — by criteria that have nothing to do with donation. Your care comes first, always.
Source: organdonor.gov ↗“I'm too old, or too sick, to donate.”
Medical suitability is assessed at the time of death, not by you now. People well into their 80s have donated. Rule yourself in, not out — let the doctors decide.
Source: organdonor.gov ↗“My religion forbids it.”
Most major religions permit or actively support organ donation as an act of generosity. If you're unsure, ask your faith leader directly rather than assuming.
Source: organdonor.gov ↗“I checked a box at the DMV years ago — I'm covered.”
Maybe. Registries change, and a decision from years ago may not have carried over. It takes two minutes to verify you're actually on your state's registry.
Source: Donate Life America ↗“My family can just override my decision.”
In most states, a first-person registration is legally binding — it authorizes donation on your behalf. A documented decision spares your family from guessing in the hardest moment, and holds up when it matters.
Source: J Med Philos (2025) ↗