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Record 31 Transplants in a Day Deepen Fears Over China’s ‘Default Consent’ Policy and Organ Harvesting Practices

Published: November 14, 2025
A protest re-enacts scenes of forced organ harvesting for profit as China's "default consent" policy causes controversy. (Image: Mandy Cheng/AFP via Getty Images)

China’s First People’s Hospital of Kunming announced that it performed 31 organ transplants in a single day, claiming all the organs came from “two young, brain-dead donors.” The news immediately drew widespread suspicion online, with many questioning whether this “record-breaking feat” masked ongoing organ-harvesting abuses long linked to the CCP — or signaled a new misuse of China’s emerging “default consent” approach to organ donation.

According to Kunming Daily, this large-scale transplant operation occurred from 8 a.m. to midnight on Nov. 6—16 continuous hours. More than 30 departments and over one hundred medical personnel were mobilized to perform 31 procedures, including liver, kidney, heart, corneal, and soft-tissue transplants.

Zhao Yingpeng, director of the hospital’s hepatobiliary and pancreatic surgery department, said the organs were donated by “two unnamed young heroes” who were declared brain-dead. Together, they reportedly provided two hearts, four kidneys, two livers, and multiple corneas and soft tissues, benefiting 11 patients. Zhao also noted that the hospital “began preparing one week in advance.”

It was this detail that sparked the most intense public questioning.

Experts ask: How can a hospital ‘prepare one week ahead’ for brain-death donors?

Wu Shaoping, head of the Human Rights Lawyers Association of China (Overseas), pointed out that being able to prepare a week in advance suggests the donors were effectively scheduled ahead of time. In medical ethics, brain death is highly unpredictable—its timing, circumstances, and compatibility cannot be arranged in advance.

Wu stated: “Such arrangements are only possible when donors are being controlled.”

In recent years, China has seen a surge in so-called “brain-death” cases. Many young hospital patients—initially admitted for minor illnesses or routine injuries—have been abruptly declared brain-dead and had their organs removed shortly afterward, prompting protests from families and growing public fear. Observers suspect that these “brain-death donations” may be disguising live organ harvesting.

Allegations of forced organ harvesting in China first surfaced in 2006, when witnesses revealed the systematic removal of organs from Falun Gong practitioners under the coordination of military and civilian hospitals. Victims were reportedly killed and cremated to erase evidence. Since then, multiple national legislatures and UN special rapporteurs have opened investigations.

In 2017, China’s state broadcaster CCTV promoted its “organ allocation and sharing system,” boasting that it could match donors and recipients within seconds. Marketed as a technological breakthrough, the claim instead amplified suspicion: in any legitimate voluntary-donation system, such rapid matching would be impossible.

A surge in missing persons 

Meanwhile, rising numbers of disappearances across China have cast a darker shadow over the country’s booming transplant sector. Media reports noted that 107 people went missing nationwide in just 22 days in October, including children as young as five. And these figures reflect only publicly reported cases—far more may never be disclosed.

Eric, the son of a former CCP official, told The Epoch Times: “Most missing teenagers in China are taken for their organs. Their organs are healthy and fetch the highest prices.”

He also claimed that the government itself is the driving force behind this system.

Dr. Wang Zhiyuan, chairman of the World Organization to Investigate the Persecution of Falun Gong (WOIPFG), said that after the CCP launched its persecution of Falun Gong in 1999, large-scale live organ harvesting rapidly expanded. Today, he said, the practice has spread beyond prisoners of conscience to ordinary citizens—even infants.

While global medical standards emphasize voluntary donation and the sanctity of life, the CCP has reshaped these principles through systemic controls, turning the act of healing into a tool for profit and violence. When a government can sell human organs under state authority and cloak killings in official narratives, the issue extends far beyond human rights—it reflects a profound breakdown in humanity and civilization.

Kunming’s “31 transplants” may represent only the tip of the iceberg. What it reveals is not merely an unusual medical episode but a deeper, institutionalized wrongdoing embedded within the CCP’s governance system. Behind the term “brain death,” countless real lives may be ending silently—without records, without accountability, and without a trace.

If demand is so high, where will the organs come from?

Around the same time, Huang Youguang, a professor at Fudan University, proposed a highly controversial policy: China should adopt a “default consent” (opt-out) system for organ donation—meaning all citizens would be considered donors unless they proactively registered their refusal. His remarks quickly went viral on Chinese social media.

A default-consent, or opt-out, system presumes individuals have agreed to organ donation unless they formally reject it during their lifetime.

In environments where families are kept uninformed or excluded, and where hospitals, transplant centers, judicial bodies, and regulators lack independent oversight or third-party review, such a system becomes ripe for abuse and secrecy.

Within China’s highly centralized political environment—marked by opaque information controls—“default consent” could become a form of hidden deprivation of citizens’ rights. Any policy based on presumed authorization risks pushing society into a climate of fear, where people worry the state could claim their organs by default.

Public rights are not bargaining chips. The dignity of human life must never become collateral in policy experimentation.