The prevailing coronavirus disease 2019 pandemic has challenged our lives in an
unprecedented manner. The pandemic has had a significant impact on
transplantation worldwide. The logistics of travel restrictions, stretching of
available resources, unclear risk of infection in immunosuppressed transplant
recipients, and evolving guidelines on testing and transplantation are some of the
factors that have unfavourably influenced transplant activity. We must begin to
build organisational flexibility in order to restart transplantation so that we can be
mindful stewards of organ donation and sincere advocates for our patients.
Building a culture of honesty and transparency (with patients, families,
colleagues, societies, and authorities), keeping the channels of communication
open, working in collaboration with others (at local, regional, national, and
international levels), and not restarting without rethinking and appraising all
elements of our practice, are the main underlying principles to increase the
flexibility