Living organ donation in the UK is at present on the increase, and current policy towards potential donors includes action on the first three rungs of our Intervention Ladder: provision of information; the recognition of living donation as a worthy act; and full reimbursement of all costs incurred by donors. Any form of payment that exceeds the direct reimbursement of costs actually incurred by the donor is forbidden in UK legal jurisdictions, by European Directive, and by numerous international agreements and statements. Nonetheless, there are regular calls for some form of regulated 'market' (which could be understood either as regulated.