India stands out as one of the few countries where living organ donations far exceed those from deceased donors. Surprisingly, a 2024 survey of driving license applicants shows many Indians want to donate organs after death. Women are more willing than men to pledge their organs. For example, in Delhi, about 27% of women said yes, compared to 16% of men. Even in Odisha, where men led with 20%, women were at 22%. These numbers show strong intent, but the actual deceased donations remain very low—less than 24,000 transplants in the last 10 years. The data, which cover 77 countries, rank India 20th in living donors per million (10.8) but 67th in deceased donors (0.8). This big gap suggests a problem between people's wishes and the hospitals' ability to carry them out. Gender differences are clear. In 17 of 21 major states, more women want to donate organs. It matches the fact that in 2023, over 60% of donors were women. Yet in the same year, nearly 65% of organ recipients were men. Liver transplants especially show a huge male bias, with men making up 70% of recipients. This may reflect medical need: 2022 data showed men died 4.5 times more than women from liver disease, mainly due to alcohol-related issues. These findings highlight a strong willingness to donate organs among Indians, especially women, but also reveal major gender imbalances in who receives the organs. Bridging the gap between intent and action could change India's organ transplant scene dramatically. Data sources include NOTTO annual reports, the Global Observatory on Donation and Transplantation, and MCCD reports.