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Directed and conditional uterus donation
  1. Elizabeth Chloe Romanis1,
  2. Jordan A Parsons2
  1. 1 Gender and Law at Durham, Durham University, Durham, UK
  2. 2 Centre for Ethics in Medicine, University of Bristol, Bristol, UK
  1. Correspondence to Dr Elizabeth Chloe Romanis, Gender and Law at Durham, Durham University, Durham DH1 3LE, UK; elizabeth.c.romanis{at}


Uterus transplantation (UTx) is highly anticipated for the benefits that it might bring to individuals wanting to carry a pregnancy in order to reproduce who do not have a functioning uterus. The surgery—now having been performed successfully in several countries around the world—remains experimental. However, UTx is at some point expected to become a routine treatment for people without a uterus and considering themselves in need of one: women with absolute uterine factor infertility; transgender women; and even cisgender men who wish to gestate. Given the unique benefits UTx offers, uteri are likely to be ‘in demand’, and such demand, we suggest, will feasibly outstrip supply. Therefore, allocation of those uteri available for transplant may become a pressing issue. In this paper, we consider one aspect of organ allocation—the preferences of donors in making a directed or conditional donation of their uterus. To what extent, in the context of uterus donation, would such donations be ethically permissible?

  • Reproductive Medicine
  • Ethics- Medical
  • Transplantation

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  • Twitter @ECRomanis, @Jordan_Parsons_

  • Contributors Both authors contributed to the conception and drafting of this article. ECR is the guarantor of the overall content.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.