**3. Legal framework for heart transplantation**

Establishing a robust legal framework that addresses organ donation and transplantation is essential. This framework should encompass legislation ensuring the legality, consent, and ethical guidelines for organ procurement and transplantation [10]. It should also include mechanisms for organ allocation and distribution, as well as regulations to prevent organ trafficking. Cooperation with international transplantation organizations and adherence to global standards, such as those provided by the World Health Organization (WHO) [11] and the Declaration of Istanbul [12], is paramount.

For example, in a recent article discussing the legal system in Germany [13] for transplantation, Germany has used the recent organ controversy as a chance to develop its processes for allocating and procuring organs, which are built on the principles of openness, quality assurance, and process improvement. This of course led to Increasing organ donation in Germany, as it depends on winning back the confidence and support of all parties, especially those in the healthcare industry. The German Organ Procurement Organization was strengthened, intensive care specialists were involved in the donation and management of organs, a transplant registry was established, and allocation guidelines were updated, Among the accomplishments to date is a focus on structured specialization training with a future 2-year fellowship requirement, a legal framework for transplant center organization, outcome measures, and quality assurance [8].
