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2025 Supreme(Mad) 2170

IN THE HIGH COURT OF MADRAS, (MADURAI BENCH)
L. VICTORIA GOWRI, J.
M. Maya Boopathi and Anr. – Petitioners
Versus
The Authorisation Committee (Transplantation), Represented by its Chairman, Directorate of Medical Education and Ors. – Respondents
W.P.(MD)No.30183 of 2024 and W.M.P.(MD)No.25402 of 2024
Decided On : 07-01-2025

Advocates Appeared:
For the Petitioner: Mr. B. Prasanna Vinoth.
For the Respondents: Mr. T. Amjad Khan, Govt. Adv.

In urgent medical cases, procedural requirements like no objection certificates should not delay necessary organ transplantation, especially when the parties are estranged.

Headnote:(A) Transplantation of Human Organs and Tissues Act, 1994 - No objection certificate - Writ petition for mandamus directing approval for kidney transplantation without NOC from estranged spouse - Court held that procedural lapses should not delay urgent medical procedures, especially in cases of organ failure. (Paras 3, 12)

(B) Urgency in medical cases - Court emphasized the need for timely action in life-threatening situations, directing the second respondent to process the application without unnecessary delays. (Paras 5, 12)

Facts of the case:
The first petitioner, suffering from end-stage kidney failure, requires a kidney transplant from the second petitioner, his cousin. The second petitioner faces obstacles in obtaining a no objection certificate from his estranged wife, which is delaying the process. (Paras 3, 4)

Findings of Court:
The court directed the second respondent to process the application for renal transplantation without insisting on the estranged wife's NOC, emphasizing the urgency of the first petitioner's health condition. (Paras 12)

Issues: The main issues were whether the estranged wife's NOC was necessary for the kidney transplantation and the implications of procedural delays in urgent medical cases. (Paras 6, 12)

Ratio Decidendi: The court ruled that in urgent medical situations, especially involving organ transplantation, procedural requirements should not hinder timely medical intervention, particularly when the parties involved are estranged. (Paras 12)

Result: Writ petition allowed.

ORDER :

(L. Victoria Gowri, J.)

(PRAYER : Writ Petition filed under Article 226 of the Constitution of India for issuance of a Writ of Mandamus, directing the 1st and 2nd respondents to grant approval for Kidney transplantation from the 2nd petitioner to the 1st petitioner without insisting NOC from the 3rd respondent, by considering the petitioner's representation dated 09.12.2024 and perform the kidney transplantation to the 1st petitioner on the priority basis within the time frame fixed by this Court.)

This writ petition is filed seeking for a direction to consider the petitioner's representation dated 09.12.2024 seeking for grant of approval for kidney transplantation from the 2nd petitioner to the 1st petitioner without insisting no objection certificate from the 3rd respondent.

2. Private notice to the third respondent effected, proof filed on 02.01.2025 and the name of 3rd respondent is printed in cause list. By consent of other parties, this Writ Petition is taken up for final disposal at the stage of admission itself.

3. The first petitioner is the cousin of the second petitioner, who is suffering from end level kidney failure, who is undergoing dialysis twice a week. The Doctor, who is treating the first petitioner has recommended surgical extraction and transplantation of the kidney for the first petitioner to survive. The first petitioner is 40 years old and he has two children. The second petitioner has voluntarily come forward to donate one of his kidneys to the first petitioner, following which, the physician concerned confirmed that the second petitioner's blood would be matched with the blood group that of the first petitioner. Subsequently, the petitioners approached the second respondent to perform the kidney transplantation. Since the second petitioner is not a near relative as defined under Section 2(i) of the Transplantation of Human Organs and Tissues Act, 1994, the second petitioner has submitted a supporting affidavit to that effect before the second respondent and the petitioners have submitted all the relevant documents as required by the second respondent. However, the second respondent, without forwarding the same to the first respondent, required the petitioners to get no objection certificate from the estranged wife of the second petitioner.

4. The third respondent is the second petitioner's estranged wife and they have separated for more than five years and a divorce petition in OP No.803 of 2024 is pending before the Subordinate Judge, Ambasamudram. Since the first petitioner is urgently in need of renal transplantation, the second petitioner is unable to get no objection certificate from his wife. Further, both the parents of the second petitioner also died on 24.10.2008 and 04.05.2021. The second petitioner, through his estranged wife, has two children, ie., a boy and a girl. In the absence of no objection certificate from the third respondent, the second respondent is reluctant to forward the petitioner's request for organ donation to the first respondent. Hence, the petitioners made a representation on 09.12.2024 to the second respondent to forward the application submitted by them to the first respondent for getting authorisation for renal transplantation. Since the same is not considered, this writ petition came to be filed.

5. The learned counsel appearing for the petitioners submitted that all the formalities required for effecting renal transplantation and all the documents required by the second respondent except no objection certificate of the third respondent have already been submitted by the petitioners duly before the second respondent. Even thereafter, in the absence of the third respondent's no objection certificate, the second respondent, despite the critical health condition of the first petitioner, is hesitant in forwarding the petitioner's application to the first respondent so as to facilitate authorisation for renal transplantation by the first respondent. Any further delay in

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