The majority of transplanted organs come from brain-dead heart-beating donors. However, donation after circulatory death (DCD), whereby organs are recovered after a cardiopulmonary arrest as part of end-of-life care, has become a common practice in the United States, Canada, and the majority of European countries. All transplantation centers and the vast majority of hospitals in the United States have developed policies designed to foster DCD.1 In 2014, kidneys recovered from DCD donors accounted for 15% of all deceased donor transplants in the United States.