Surgery generally occurs 24-48 hours following consent though time may vary widely based on family requests, number of organs to be transplanted, and patient stability. Families will be encouraged to say their goodbyes prior to transport. However, in some rare instances, the family may request special consideration and this is dealt with on a case by case basis in cooperation with the hospital leadership. Hospital staff, transplant center staff and NORS staff will be in the OR during surgery. For DCD, only hospital staff and a NORS representative will be in the OR during the death process, following death the transplant staff, other hospital staff, and the remainder of the NORS staff will enter the OR.