U.S. Transplant Centers by State

Geography is a recognized variable in OPTN/UNOS allocation. The 2020 acuity-circle policy replaced fixed donor-service areas with distance-based allocation, but regional differences in donor supply, listing thresholds, and program density remain. Patients can register at multiple centers (multiple listing) and may travel between regions to shorten wait times.

State factor	Why it matters
Center count	More programs in-state can reduce travel for evaluation and follow-up; fewer programs may push patients to neighboring states.
Donor supply	Donor-recovery rates differ by region. The OPTN publishes OPO performance data each year.
Listing thresholds	Some programs accept patients others decline; multi-state listing is allowed under OPTN policy.

Source: OPTN/UNOS & SRTR. See our methodology. State-level summaries are descriptive and do not constitute medical advice.

Reviewed byPlainTransplant Editorial, Organ Transplant Data Editorial Team · June 5, 2026