Croatia is one of the leading countries in the world due to the number of deceased organ donation and therefore in the number of transplants performed per capita annualy. The Clinical Hospital Center (CHC) Rijeka is a donor hospital with an exceptionally successful deceased donor program and with the best results in this field over the past decade in the country. At CHC Rijeka one-fourth to one-fifth of all solid organs intended for transplantation are realized in Croatia annualy and 80 to 115 solid organs per each year were performed from 2012 to 2018. In the mentioned period, the highest absolute number of deceased donors and the largest number of solid organs for transplantation in the country were realized in the UHC Rijeka despite the fact that the deceased donor potential of the hospital is not among the largest in Croatia. The number of donors in hospital over the last decade increased simultaneously with the rise in the number of donors at the national level with emphasis that the regional deceased donation rate during the mentioned period in CHC Rijeka is 1.9 to 3.6 times higher than the national average. The family refusal rate was only 2.7% from 2011 to 2018 after 224 interviews with family members which were conducted by the hospital transplant coordinators team members. The mentioned refusal rate at CHC Rijeka is extremely low and significantly lower than the national average rate which is 20% and as such is considered a very good result worldwide. Regarding to the above mentioned achievements in hospital organ deceased donation, CHC Rijeka is strongly positioned as a leading donor hospital at the national level and as highly respected institution within the international medical transplant community in this demanding field of a medicine without which the development of clinical transplantation is not possible.