I read with interest the article byMalinoski and colleagues about compliance with American College of Surgeons (ACS) trauma center verification requirements on organ donation-related outcomes. The article convincingly demonstrates that adherence to 4 ACS process measures of compliance does not affect the rates of volume-adjusted organ donation at ACS levels I and II accredited trauma centers. In fact, the authors identified only 2 significant factors that increase organ donation rates: having institutional catastrophic brain injury guidelines in place and presence of a trauma surgeon on a donor council. The authors go on to conclude, “Once [such] organ donation practices can be quantitatively assessed and benchmarks can be established, hospital policies and procedures focused on increasing the number and quality of organs available for transplantation can be created, implemented, and continuously evaluated.” In other words, the authors make a strong case for not onlymeasuring but also requiring the presence of trauma surgeons on organ donor councils. The authors do not consider that such organ donor council service might represent a conflict of interest for trauma surgeons, who are otherwise committed to preserving any hope for the recovery of trauma victims, who are their patients. This potential conflict of interest is highly evident in the funding and authorship of this manuscript. The only identified funding source for the study was a grant from the National Institute of Diabetes and Digestive and Kidney Diseases, which oversees research related to kidney transplantation but generally not that related to survival from traumatic injury. OneLegacy, a California organ procurement organization, employs 3 of the authors. Of these 3, one holds amaster degree in business administration and the other 2 list no advanceddegrees. In a startling admissionof the conflict of interest that is apparently transparent to this group, the introduction to the article states, “One of the contributing factors to this gap between needed and available organs is a static number of deceased organ donors over the past several years.” The solution to this problem for organ transplantation programs and for the highly deserving patients on their