The family counselling and conversations on organ donation is one of the most poignant and emotionally intensive conversations that one could ever have. Supporting a family grappling with the devastating loss of a loved one is paramount. The death of the person has to be communicated clearly. Offering a family the option of organ donation needs to be done with sensitivity and empathy. All families need to be offered this option. Thereafter, it is up to the family to make a decision that is right for them.