Dr. Sadanandan Ganapathy, a 78-year-old physician from Sakthikulangara village in Kollam district, Kerala, has been engaged in a prolonged legal battle to reform the protocols for declaring brain death. His efforts led the Supreme Court of India to instruct the All India Institute of Medical Sciences (AIIMS) to establish a panel of experts to evaluate whether more reliable tests, such as electroencephalograms (EEGs) and cerebral angiograms, should replace the current apnea test used for brain death declarations. Ganapathy's advocacy began after he noticed a suspicious rise in brain death declarations, from nine cases in 2012 to 79 in 2015. He claims that the existing protocols lack transparency, allowing doctors to declare patients brain dead without proper examinations. Despite facing threats, he believes his actions have made hospitals more cautious regarding brain death certifications. Ganapathy's concerns were initially acknowledged by Kerala's health department, but he alleges that the implementation of better protocols was stalled due to pressure from private hospitals. His personal experience with organ donation, influenced by a conversation with his daughter, further fueled his commitment to ensuring ethical practices in organ transplantation.