An opt-out system for organ donation would better reflect the views of most Scots, doctors’ leaders have said.
The British Medical Association (BMA) said it was time for a “serious debate” on the issue.
About 650 people north of the border are currently on the waiting list for a transplant but some will die before they get the chance of a new organ.
Dr Sue Robertson, a renal physician and a member of the BMA’s Scottish Council, said: “All the time we waste now means that more lives will be lost. Now is the time for a serious debate about moving to opt-out.”
The BMA has long called for a soft opt-out system to be introduced, arguing such a change could save or transform thousands of lives.
That would mean that when someone who had not opted out of being an donor died, their relatives would be asked if they objected to their organs being used to help others.
Dr Robertson said: “Organ transplantation is an area that has seen amazing medical achievements but has not yet reached its full life-saving and life-transforming potential.
“As doctors it is difficult to see our patients dying and suffering when their lives could be saved or dramatically improved by a transplant.
“It is important that an individual’s views on organ donation are taken into account following their death. A soft opt-out system would better reflect the views of the Scottish people.”
Gill Hollis, who received a lung transplant, also backed a move to an opt-out system.
The Edinburgh woman said: “I wouldn’t be here today without my transplant, so I am incredibly grateful to my donor family; their generosity saved my life.
“But I was one of the lucky ones – I received my transplant in time. I’ve also supported people through the waiting process who did not receive an organ in time, and that’s been heartbreaking.
“So, you can see why I feel passionately about initiatives to address the organ shortage. An opt-out system would mean that more people could have their lives saved and transformed.”
The BMA is also urging more Scots to sign up to the Organ Donor Register and to discuss their wishes with friends and family.
Ms Hollis said: “It is vital that people talk to their loved ones about their wishes and discuss openly their views on organ donation so that, if the time comes, they can make a decision which reflects the individual’s wishes.”