EDITOR—In examining the selection process for organ transplantation, Masterston is correct in stating that doctors share the public's prejudice against people with mental illness.1 In a survey of American transplant centres, active schizophrenia was an “absolute contraindication” to transplantation in 92% of cardiac units, 67% of liver units, and 73% of renal units.2 Controlled schizophrenia was relatively contraindicated in 51%, 65%, and 62% respectively. During the first 11 years of a heart transplantation programme in Montreal, 226 transplants were completed and 28 people were denied the procedure on the basis of a psychiatric diagnosis.3 Seven of these 28 people had continuing alcohol or drug misuse, six had non-compliance with …