• Laura O'Donovan, Nicola Jane Williams, and Stephen Wilkinson.
• Department of Politics, Philosophy, & Religion, County South, Lancaster University, Lancaster, LA1 4YQ, United Kingdom.
• Br. Med. Bull. 2019 Sep 19; 131 (1): 192819-28.

IntroductionIn 2014, Brännström and colleagues reported the first human live birth following uterine transplantation (UTx). Research into this treatment for absolute uterine factor infertility has since grown with clinical trials currently taking place across centers in at least thirteen countries worldwide.Sources Of DataThis review summarizes and critiques the academic literature on ethical and policy issues raised by UTx.Areas Of AgreementThere is general agreement on the importance of risk reduction and, in principle, to the sharing and maintenance of patient data on an international registry.Areas Of ControversyThere are numerous areas of controversy ranging from whether it is ethically justified to carry out uterus transplants at all (considering the associated health risks) to how deceased donor organs for transplant should be allocated. This review focuses on three key issues: the choice between deceased and living donors, ensuring valid consent to the procedure and access to treatment.Growing PointsUTx is presently a novel and rare procedure but is likely to become more commonplace in the foreseeable future, given the large number of surgical teams working on it worldwide.Areas Timely For Developing ResearchUterus transplantation requires us to re-examine fundamental questions about the ethical and social value of gestation. If eventually extended to transgender women or even to men, it may also require us to reconceptualize what it is to be a 'father' or to be a 'mother', and the definition of these terms in law.© The Author(s) 2019. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

21 keywords...

hide…