Normothermic Regional Perfusion (NRP) is an emerging technique in organ donation following circulatory death (DCD) that restores oxygenated blood flow to organs while excluding cerebral circulation. While NRP offers the potential to improve transplant outcomes and increase the donor pool, its use in Australia has raised significant ethical controversy. Concerns centre around the possibility of violating the dead donor rule, the definition and determination of death, and the acceptability of restoring circulation post-mortem. Additionally, there are questions about transparency, consent, and public trust. This session explores the ethical tensions surrounding NRP in the Australian context, highlighting the need for clear national guidelines, community engagement, and ongoing dialogue between clinicians, ethicists, and policymakers to ensure ethically robust and publicly accountable practice.