The Supreme Court of India is reviewing the protocols for certifying brain death, prompted by allegations from activist S Ganapathy that some patients are incorrectly declared brain dead to facilitate organ donation. The court plans to consult experts from the All India Institute of Medical Sciences (AIIMS) on the necessity of additional tests like electroencephalogram (EEG) and angiogram for accurate certification. Brain death, defined as an irreversible cessation of all brain activity, is crucial for organ donation, yet India faces a low deceased donation rate of 0.77 per million population, compared to 48 per million in Spain. Current guidelines mandate a four-member board to confirm brain death at least twice, but challenges persist, including a lack of training among physicians and the subjective nature of existing tests. The review aims to address these issues and improve the organ donation process in India.