IN THE HIGH COURT OF JUDICATURE AT MADRAS
G. R. SWAMINATHAN, J.
Rita Chaurasiya W/o. Ratan Lal Chaurasia - Appellant
Vs.
The State of Tamil Nadu - Respondent
WP No. 20047 of 2026 and WMP.Nos. 21437 of 2026
Decided On : 21-05-2026
| Table of Content |
|---|
| 1. the court identifies the procedural conflict where the donor's maternal relationship was questioned, delaying urgent medical transplant. (Para 1 , 2 , 3) |
| 2. the court reinforces that altruistic donations among near relatives should not be obstructed without evidence of commercial transaction. (Para 4 , 5) |
| 3. documentary proof such as birth and identity certificates suffices to establish relationship, negating the need for further invasive dna testing. (Para 6 , 7 , 8 , 9) |
ORDER :
G. R. SWAMINATHAN, J.
Heard both sides.
2. In the present case, since the 2nd petitioner herein has renal issues and requires emergent Kidney transplantation, he has come down to Chennai to undergo the requisite procedure in the 3rd respondent Hospital. The 1st petitioner, who is none other than the mother of the 2nd petitioner has come forward to donate one of her Kidneys. Therefore, necessary applications were placed before the 2nd respondent/Authorization Committee. The Authorization Committee did not grant approval on the ground that the relationship between the Donor and the Patient has not been established. Challenging the stand of the Authorization Committee, the present writ petition has been filed.
3. When the Donor claims that the recipient / patient is none other than her own biological son, this Court is unable to understand as to why the request of the petitioners has been casually ignored.
4. My attention is drawn to the order dated 30.05.2024 made in W.P.No.13918 of 2024 etc batch. The relevant portion of the said order is extracted hereunder:
“13. From the language of Form-18 certificate issued by the Authorisation Committee, one can conclude that permission will be granted, if the donation is out of love and affection and there is no financial transaction between recipient and donor and there is no pressure on / coercion of the donor. The members of the Authorisation Committee are human beings. What goes into their thought process? One factor that is taken into account is the material indicating the length of association between the donor and the recipient. This may not always be a sound approach. There is something called “love at first sight”. Love and affection are intangible sentiments. On the other hand, time is a measurable. Something that cannot be measured cannot be determined by a measurable value.
14.I am conscious of the decision of the Hon-ble Division Bench of Bombay High Court reported in 2012 SCC Online Bom 64 (Sonia Ajit Vayklip Vs. Hospital Committee, Lilavati Hospital ). It was held that where the donor and the recipient are shown to be near relatives and the case does not fall under any of the three exceptions set out in Section 9(4) of the Act, the Authorisation Committee has no power to make further enquiry about the motive of donation because in such cases there would be no commercial element. After so holding, the learned Judges went on to observe that where the donor is not a near relative, the burden is on the applicants to establish the real intent by placing relevant materials for consideration of the Authorisation Committee and heavy burden lies on them to establish.
17.Let us put ourselves in the shoes of the applicants. They can only assert that there is no commercial dealing. They cannot be called upon to prove the negative. Rule 17 provides for scrutiny of application. In case of doubt, explanation can be sought from the applicants and there can also be verification done through the officials of the Government. Too much of burden cannot be laid on the shoulders of the applicants. Unless there is definite material to establish that there are financial dealings involving the parties, permission ought not to be withheld or rejected. If the donor states that out of love and affection, he / she is making the donation, in the absence of any credible reason, the averment should not be doubted. The Government must come out with definite guidelines in this regard. Otherwise, the issue will be left to the
When documentary evidence, such as birth certificates and identity documents, clearly establishes a parental relationship, the Authorization Committee cannot unreasonably reject a live kidney donatio....
The court emphasized that kidney transplantation from non-near relatives requires the Authorisation Committee's prior approval to prevent commercial dealings, underscoring altruistic motives in organ....
The burden of proof for altruistic organ donation lies with the applicants, and the Authorisation Committee must consider all relevant factors without presuming commercial intent.
Authorization Committee not required to re-evaluate medical fitness of donor where competent authority has already certified fitness under Rule 2(c) for genetically related donor-recipient transplant....
Natural justice principles mandate that applicants must be given an opportunity to explain their case, particularly in organ donation applications without evidence of commercial motives.
Disparity in financial position between donor and recipient cannot alone imply a commercial transaction; motivations must be established based on affection and attachment.
Altruistic organ donations should not be rigidly restricted by familial definitions; the intent behind donation is critical for approval under the Transplantation of Human Organs and Tissues Act.
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