It is a descriptive and cross-sectional study in which a pre-established valid and reliable self-administered questionnairewas used among health care professionals of the tertiary care centre of eastern Nepal16.  Those who gave consent were included in the study. Purposive samplingof 221, among health care professionals (Faculties, Nursing In-charges, Lab- technicians, Radiology technicians) participated in the study. Collected data was entered in Microsoft Excel and coded accordingly. The statistical analysis was performed by statistical package for social science (SPSS) and frequency was calculated.

Structured Questionnaire: (Malaysia has no laws regulating living donation and in the absence of laws, living donation is presumed to be legally permissible under valid donor’s consent). If liver or heart or other organ transplant surgeon transplanted liver or heart or another organ with intention to save the life, in the absence of their specific law in Nepal, should the surgeon be punished? The responses were 86.87% as "No if done in an emergency condition"; 6.33% as "No"; 4.07% as "Can’t say" and 2.71% as "Yes".

Majority (86.87%) of health care professionals support the organ transplantation even in the absence of the specific law in the country for the emergency condition. Organ transplantation in Asia is usually regarded as a policy issue, rather than a clinical issue, but Malaysia is an exception to this consideration. Malaysia has no laws regulating living donation and in the absence of laws, living donation is presumed to be legally permissible under valid donor s consent17. Nepal has cardiothoracic and vascular surgeons but they cannot practice in the absence of laws for specific organ transplantation. A similar situation can be seen in other Asian countries as well, the Lancet has shown that the regulatory system in China is relatively lagging behind its medical development18. Due to the cumbersome process in amending the legal system of nation, it sometimes can t keep pace with the sudden change in the urgency in the health care system; especially in the situation like COVID-19 Pandemic. Such situation need to be addressed by collecting consensus from the concerned experts for new or revised policy as stated by World Medical Association 19.

Now the whole world is fighting against COVID-19 Pandemic with different measures in which Lung transplantation is done for the first time on COVID-19 patients as the only available treatment option in the United States of America, Europe and China has shown its importance in the era when its treatment is a challenge to entire humanity. The only research article on COVID-19 lung transplantation found in the scientific literature conducted by Weili Han et. al.8 at School of Medicine, Zhejiang University has shown that despite all the available treatment modalities like a course of antiviral therapy, hormonal therapy, convalescent plasma, immune-enhancing supportive treatments, and methylprednisolone, life supporting extracorporeal membrane oxygenation (ECMO) with mechanical ventilation was initiated, lung function continued to deteriorate in two cases of 66 years and 70 years old individuals. Those cases finally got rescued with the help of lung transplantation done after their SARS-CoV2 RT-PCR tests for COVID-19 turned negative8. Thus transplantation offers the terminally ill COVID-19 patients another alternative for survival. Despite the promising successful initial results from the reported cases of lung transplantation, the study reflects some potential concern about the systemic virus that it could damage the donor's lungs after lung transplantation and medical staff would be put at risk to a virus with a high contagious index20.