Locating organ donors in Rome is considerably more challenging than in other cities. In the ranking of the most "generous" municipalities, the capital city performs poorly, with a donation rate (the baseline) of 58%, ranking 33rd among medium-sized towns. This is far lower than the 70% in Trento and Sassari, as well as the 69% in Verona, where locals are much more prepared to sign authorization forms for the collection of organs after death. The National Transplant Center provided this data, which covers the full previous year. However, initial data from Capitoline Hill indicates that the trend will continue in 2025. The donation rate is computed based on the responses citizens provide to the form they receive when renewing their identity card, which contains the consent form for organ donation. This is the primary method for expressing one's wishes in this regard, and they can be changed at any time with a declaration to the contrary or upon subsequent renewal of their identity card. In 2024, out of 282,440 identity cards issued in Rome, 105,396 adults (38%) gave consent, while 67,514 (23%) said 'no'. Finally, 109,530 Romans (39%) did not express a decision at all. It is important to note that abstention is not the same as a "no"; rather, it indicates that the decision is left to relatives when the issue arises. Only a dozen large cities rank worse than Rome. At the bottom are three southern cities: Palermo and Catania (49%) and Foggia, last at 43%.