Introduction: The Kingdom of Saudi Arabia, serving as the referral center for the Gulf Cooperation Council (GCC) countries, is renowned for its deceased organ donation program. The Saudi Center for Organ Transplantation (SCOT) supervises and monitors the organ donation process, following the critical pathways of deceased organ donation and practicing organ recovery after obtaining consent from the donor's family through an opting-in system.

Methods: A 10-year retrospective study (2012-2022) was conducted using data from the SCOT national registry to assess the critical pathways of deceased organ donation in Saudi Arabia. Metrics such as the number of possible, potential, and actual donors, as well as the utilization of donated organs, were analyzed.

Results: Over the 10-year period, 6,425 possible deceased organ donors were reported, with 4,090 (64%) converted to potential donors after documentation of brain death. Of these, 3,388 (83%) families were approached for organ donation consent, resulting in 1,157 (34%) consents and 1,040 (90%) actual donors. The total utilized organs from deceased donors were as follows: Kidneys (1,346), Liver (697), Heart (360), Lungs (528), Pancreases (80), and Small bowel (13), along with recovered tissues, including bones (529), corneas (84), and heart valves (253).

Conclusion: Saudi Arabia has an active deceased organ donation program, However, many possible donors remain unidentified. To improve deceased organ donation processes and conversion rates, SCOT is implementing a new national policy that includes Key Performance Indicators (KPIs) for all ICU hospitals in the Kingdom. The policy aims to increase the number of possible cases and double the number of consented and actual deceased organ donors within the next three years.