 Can people freely give consent when considering whether to donate to a close relative? It may be thought that consent in such a case is suspect because potential donors would be: (1) desperate to save their relatives (2) subject to a feeling of moral obligation or (3) subject to family pressure. The first two reasons are not good ones. People give valid consent in other desperate circumstances, for instance to a lifesaving operation, and acting out of a reasonable sense of moral obligation is a way of exercising one’s freedom rather than a constraint upon it (we consider below unusual senses of obligation in the context of religious stranger donation) (Radcliffe-Richards 2006; T.M. Wilkinson and Moore 1997).