The Bangladesh government has issued the 2025 gazette amending the Organ Transplantation Act, introducing major reforms to curb fraud and illegal trade. The new law expands the definition of donors to include emotional donors—such as spouses, adopted relatives, or long-term friends—alongside biological and cadaveric donors. It mandates strict verification, psychological evaluation, and ethical approval for emotional donations. The amendment also legalizes swap transplants between mismatched donor-recipient pairs under national registry oversight. For the first time, the law defines 'brain death' medically to facilitate cadaveric donations. A national transplant registry will record all donor-recipient data, hospital authorizations, and ethical committee decisions under the Health Ministry’s supervision. Only government-approved hospitals and surgeons can perform transplants, meeting international standards. The law imposes severe penalties for organ trafficking, coercion, or falsification, including license cancellation and up to ten years’ imprisonment. While cadaveric donation remains voluntary, the law encourages it to build a donation culture respecting ethical and religious values.