The gap between the huge demand for organs and their inadequate supply is the issue of concern. Organ shortage is a global issue and deceased organ donation is the major sustainable way out. There are stringent criteria instituted for the retrieval, preservation, and transportation of donor organs. India slips to the 40th rank in the study of 69 countries in terms of the number of organ transplants per million population. However, the country has significant potential for deceased organ donation due to a higher proportion of fatal road traffic accidents. There are various programs, policy, legislation, organizations including observation of __ampersandsignlsquo;Organ Donation day__ampersandsignrsquo; addressing organ donation. From the Transplantation of Human Organ Act to National Organ and Tissue Transplant Organization, each modality promotes organ donation __ampersandsignamp;transplantation. There are various determinants of organ donation especially influencing the decision making for donation. It is the need of the hour to address wherein the process, and for what reason, potential donors fail to become actual donors. This article reviews and revisits the evolution of organ donation, the magnitude of the problem of inadequate organ donation, measures and services available to promote organ donation.