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2026 Supreme(Mad) 501

IN THE HIGH COURT OF JUDICATURE AT MADRAS
P.T.ASHA
B. Shyam – Appellant
Versus
State of Tamil Nadu Rep. by its Secretary to Government, Heath and Family Welfare Department – Respondent


Advocates Appeared:
For the Petitioner: Mr. N. Manoharan
For the Respondent: Mr. M. Bindran, AGP., Mrs. T. Vennila

Table of Content
1. documented history of applicants and their relationship (Para 1 , 2 , 3 , 4 , 6)
2. clarification of rules governing transplantation (Para 7 , 8 , 10)
3. importance of genuine donor assessment and proper guidelines (Para 12)
4. mandatory consideration of altruism and non-commercial intent (Para 13 , 14 , 15)
5. order to grant approval for transplantation (Para 16 , 17)

ORDER :

P.T. ASHA, J.

1. The petitioners seeks to quash the rejection of their application seeking transplantation and to direct the respondent to grant approval for human transplantation of an organ from the 2nd petitioner to the 1st petitioner by considering their application in Form 11 dated 22.11.2025.

2. The short facts which have culminated in the filing of the above Writ Petition are as follows:-

3. The 1st petitioner is suffering from chronic kidney decease stage V. The 2nd petitioner who is the brother of the petitioner’s maternal Aunt’s husband had come forward to offer his organ and the petitioners have together submitted an application dated 22.11.2025 under Form-11 of the Transplantation of Human Organs and Tissues Rules, 2014 (hereinafter referred to as the “Rules”) enclosing all the attendant

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