The Supreme Court of India is investigating the protocols for certifying brain death, responding to a petition that claims some patients are incorrectly declared brain dead to facilitate organ donations. The court has requested an expert committee from the All India Institute of Medical Sciences (AIIMS) to assess whether additional tests, such as electroencephalograms (EEG) and angiograms, are needed. However, experts argue that the current protocols, governed by the Transplantation of Human Organs and Tissues Act of 1994, are sufficient. Dr. Manjari Tripathi, head of neurology at AIIMS, noted that the process requires certification by a panel of four independent doctors and must be confirmed twice with a minimum gap of six hours. The apnea test, which is the standard method for confirming brain death, is considered reliable globally, although it has been criticized for its subjectivity. The court's inquiry comes amid a significant gap in organ donations in India, where only about 1,100 deceased donations occur annually, equating to 0.77 per million of the population. A recent study highlighted that fewer than half of doctors have formal training in brain death certification, contributing to the under-recognition of eligible cases for organ donation.