 The International Organization for Transplantation Reform, ITR, held a forum in 2021 to discuss the best practices for consent models and intent to donate registries. The forum consisted of a working group comprised of experts in deceased donation consent models, patient advocates, and other stakeholders. The group identified 11 recommendations related to consent models and intent to donate registries. These recommendations focused on adapting consent models and registries to the legal, societal, and economic realities of each jurisdiction, ensuring consistency across the system and preserving public trust. This article was authored by Phil Walton, B.S.C., Hans, Alicia Perez Blanco, P.H.D., M.D., Stephen Bede, M.D., and others.