On December 20, 2006, the Institute of Medicine (IOM) held a meeting focused on disseminating the recommendations of the IOM report, Organ Donation: Opportunities for Action with particular attention to the next steps regarding uncontrolled donation after circulatory determination of death (DCDD). The meeting addressed opportunities and barriers for building public and professional consensus and implementing uncontrolled DCDD programs in major metropolitan areas. Three cities (Chicago, New York City, and Washington, D.C) served as examples for discussion.