 The objective of this study was to analyze the current trends and developments in organ donation and transplantation in Russia. To do so, heads of organ transplant centers were surveyed through questionnaires. Data collected from these centers was then compared to the information accounting system of the Russian Ministry of Health. Additionally, a comparative analysis of data from different federal subjects of the Russian Federation was conducted. As a result, it was found that there were 45 kidney, 29 liver, and 17 heart transplantation programs operating in the Russian Federation in 2021. Furthermore, the kidney transplant waiting list included approximately 10.5% of the 60,000 patients receiving dialysis. Organ donation activity in 2021 was 4.5 per million population, with a 78.4% multi-organ procurement rate and an average of 3.0 organs procured from one effective donor. In 2021, there were 9.5 kidney transplants per million population, 4.2 liver transplants per million population and 2.0 heart transplants per. This article was authored by SV Gotye and SM Komayakov. We are article.tv, links in the description below.