 Although rules and practices governing living donation have generally become more permissive in most respects, they have become stricter in the case of incompetent donors (Price 2000). Only six living kidney donations by minors were performed between 2000 and 2015 in the U.S., for example. Additionally, in the U.S., just 20 minors have donated a liver lobe or segment since 1987. In Europe, only three cases of living kidney donation by minors have been reported, all involving adolescents and occurring in the U.K. prior to 2006 (Van Assche et al. 2016).