Australia has one of the highest transplantation success rates but a relatively low organ donation rate compared with other developed countries. In 2004, there were 218 deceased donors, from whom 789 people received a transplant. Many of the 1663 people on the transplant waiting list will have died awaiting a transplant. It is unclear why organ donation rates in Victoria and the rest of Australia are relatively low, and whether there is potential to increase these rates. Possible reasons for the low rate include a small donor pool, a low consent rate, and a high incidence of potential organ donors for whom organ donation is not requested.