The Indian Society for Organ Transplantation (ISOT) recommends considering organs from deceased donors with diabetes or hypertension for transplantation, emphasizing the benefits outweighing risks. An assessment by doctors from 32 top Indian medical institutions supports individualized risk assessment of both donor organs and recipient profiles, rather than immediate rejection. The statement highlights that while data in India are limited, international registries show hypertension in 15-20% and diabetes in 2-8% of deceased donors. The US Renal Data System (USRDS) and United Network of Organ Sharing (UNOS) data reveal slightly increased risk of complications in kidney transplantation from such donors, particularly in terms of graft survival. Leading experts propose specific screening criteria for considering organs from donors with diabetes or hypertension, suggesting a case-to-case evaluation.