Teaching 1913–2026

Blood Transfusion

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Early Watch Tower publications discussed blood transfusions without consistently condemning the practice. Scriptural objections emerged in 1943-1945, followed by congregational disciplinary consequences in 1961. Organ and tissue transplantation was treated as a personal decision in 1961, condemned in 1967, and returned to individual conscience in 1980. In 1974, the publications distinguished transfusions from small blood-derived serum fractions and left the latter to individual conscience. In 1978 and 1989, they explained circumstances in which blood circulating through medical equipment could be considered part of the patient's circulation, while continuing to reject stored autologous blood. A 1984 explanation addressed bone-marrow transplantation, and a 1990 explanation expanded the reasoning concerning plasma fractions. In 2000, the publications extended individual conscience to fractions derived from any of the four primary blood components, while continuing to prohibit those components themselves. A procedural change announced in June 2000 replaced congregation-initiated removal for willful, unrepentant acceptance of a prohibited transfusion with treatment of the person as having disassociated. Publications through 2024 continued to reject whole blood, the four primary components, and stored autologous blood, while maintaining that organ donation and transplantation were personal decisions. In March 2026, the use of a patient's own blood in medical and surgical care was explicitly left to individual conscience. In September 2026, the same principle was extended to red cells, white cells, plasma, and platelets derived from another person's blood, and to blood donation specifically intended to provide components or fractions. The prohibition on whole-blood transfusions and donation for whole-blood transfusion remained unchanged.

29readings
48quotes
9changes

Key moments

  1. 1943 Narrowed The earliest criticism
  2. 1945 Narrowed The first mention of the blood transfusion topic in the Watchtower. From this year on, the criticism began to grow.
  3. 1961 Narrowed They started talking about disfellowshipping.
  4. 1961 Introduced Donating eyes or other body parts after death for transplantation or scientific use was left to individual conscience.
  5. 1967 Reversal Organ transplantation is condemned
  6. 1974 Introduced Blood transfusions and major blood components used for a similar purpose remained unacceptable, but the decision to accept a serum containing a minute blood fraction for passive immunity was left to individual Christian conscience.
  7. 1978 Refined The publications recognized that a Christian might conscientiously permit heart-lung machines or hemodialysis when the apparatus was primed with nonblood fluid and the patient's blood circulated through the equipment and back into the body.
  8. 1980 Reversal Organ transplants are allowed again
  9. 1984 Refined Bone-marrow transplantation was addressed separately because marrow is tissue but a graft taken from a living donor may contain blood. The patient had to consider the distinction between tissue and unbled tissue, as well as the broader transplantation principles.
  10. 1989 Refined Preoperative collection and storage of a patient's own blood for subsequent reinfusion remained prohibited. Procedures involving blood temporarily diverted through medical equipment, including closed-circuit hemodilution and intraoperative blood salvage, required a conscientious decision about whether the blood remained part of the patient's circulation.
  11. 1990 Refined The publications explicitly distinguished whole blood and the four principal blood components, which were prohibited for transfusion, from minor blood fractions, which remained matters of conscience. The natural passage of certain plasma proteins from a pregnant woman to her fetus was offered as an additional consideration for accepting some fractions.
  12. 2000 Broadened Personal conscience was explicitly extended to fractions obtained from any of the four primary blood components, including fractions derived from red cells, white cells, and platelets, rather than only the plasma fractions traditionally discussed.
  13. 2000 Refined A disciplinary procedural change was implemented in April 2000 and publicly explained in June. Instead of the congregation initiating removal of a baptized person who willfully and without regret accepted a prohibited transfusion, that person's action was treated as self-disassociation. The organization stated that the resulting loss of membership was unchanged.
  14. 2024 Refined The publications now explicitly stated that bone marrow is not equivalent to blood and that accepting a bone-marrow transplant is a personal decision, clarifying the earlier discussion of whether a graft could contain unbled tissue.
  15. 2026 Reversal The March 2026 clarification made all medical and surgical uses of a patient's own blood matters of individual conscience. This replaced the former categorical rejection of storing one's own blood for later transfusion with a general personal-decision principle.
  16. 2026 Reversal In September 2026, the Governing Body reversed the categorical prohibition on receiving the four primary components derived from another person's blood. Accepting or declining red cells, white cells, plasma, or platelets became a personal decision, and the congregation was instructed not to intervene or judge the individual's decision.
  17. 2026 Broadened The former general prohibition on donating blood was broadened to permit individual conscientious decisions about donations explicitly intended for producing components or fractions for other people. Donation for use as a whole-blood transfusion remained prohibited.
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Russell

Charles Taze Russell · 1877–1916

1 reading
  1. 1913 Depends on context

    A report described experiments in blood transfusion and its potential to save lives.

    1 quote
    REVIVING A DEAD PERSON By Transfusion of Blood, Said to Be Possible. The miracle of bringing the dead back to life, Dr. A. L. Soresi of Fordham University thinks, will be a scientific achievement of the future. Dr. Soresi, who is attached to the staff of the Flower Hospital, for five years has conducted experiments on the transfusion of blood, with results, he says, that are amazing. Prof. Soresi here told of saving the life of a male patient whose body was apparently moribund. After the explanation of his experiments with the transfusion of blood in animals, Prof. Soresi said: “An experiment with a male pneumonia patient was perhaps not as spectacular, but more gratifying in results. This patient was entirely without respiration by all tests applied, and therefore actually moribund to human knowledge, when I made a transfusion of blood from a normal man through the jugular vein of the patient. The return to life was prompt and recovery followed in due course. “If such transfusions could be made promptly, the loss of life would be materially lowered. “In a recent experiment at Flower Hospital, I pumped all the blood from a dog until the animal lay absolutely lifeless. For sixteen minutes I allowed the animal to remain without a spark of life. The heart had stopped beating and every function of life had ceased. “I connected the blood vessels of the dog with those of another dog and permitted the blood to flow. Inside of five minutes there was a complete return of life, and the dog soon was yelping in an entirely normal way. Other experiments with dogs have yielded amazing results. “When the way has been found to connect directly with the left side of the heart, medical science will be able to restore human beings to life after all animation has been suspended, provided there is no organic trouble. The resuscitation will be effective in cases of gas or drug poisonings, hemorrhages, and such diseases as typhoid and pneumonia. Sudden death by accident, when no vital organ has been crippled, will fall within the scope of the transfusion method. “Under the new science, it will be possible to restore life after it has been extinct for half an hour. I am devoting most of my time to these experiments, and hope before long to be able to make an important announcement to the world of science.”
    Bible Students Monthly—1913

Rutherford

Joseph F. Rutherford · 1917–1942

1 reading
  1. 1925–1940 Depends on context

    Reports discussed blood donation, transfusions, and medical risks without stating a consistent religious prohibition.

    9 quotes
    Gives Eleven Gallons of Blood Mr. B. W. Tibble of London, England, has on forty-five different occasions given a pint of blood for transfusion to patients in the London Hospital. The usual fee is five guineas (twenty-five dollars), but Tibble has always refused to receive any pay for his services. He has been made a life governor of the hospital and been honored with an Order by the king.
    July 29 — Golden Age
    Humanity Has a Good Heart The good heart of humanity never showed to better advantage than the other day in Philadelphia. A little lad needed a blood transfusion to save his life. An appeal was broadcast, and within a few minutes fifteen hundred people had responded, urging that they be given an opportunity to give some of their blood to keep the little fellow alive. What a striking answer this is to those who still hold to the worn-out theory that God, in whose image man was created, has a great plan for torturing to eternity almost everybody. In the face of this exhibition of human goodness, anybody ought to be able to see that the eternal torture theory is false from beginning to end.
    June 15 — Golden Age
    Orange Juice and Blood Transfusion The editor of Health Culture, while acknowledging with much appreciation the many splendid acts of self-denial on behalf of others which have been performed by blood transfusion, says that, as far as his experience goes, one cup of sweet orange juice by mouth answers any emergency in which blood transfusions would be used. His observations in hospitals do not prove to him that transfusion is either necessary or reliable.
    July 25 — Golden Age
    Blood Sellers in New York ACCORDING to the health authorities there are now 8,000 persons in New York who are trying to make a living by selling their blood for transfusion purposes. The number is three times what it was a year ago. The hard times are offered as an explanation. The blood sellers must be licensed.
    May 13 — Golden Age
    Canning Human Blood in Russia Doctor Alan Hirsch, returning to New York from a visit to Russia, reports that in that country human blood is now’ preserved for use in transfusion. The blood used is that obtained immediately follow’ing death by accident of healthy persons. Can’t help but wonder if there is any connection between the mysterious disappearances of those not congenial to the Soviet state and this sudden supply of fresh blood obtained from the accidental death of healthy persons.
    September 13 — Golden Age
    Using the Blood of Suicides It has been discovered that, if used within a few hours after death, the blood of suicides, or those who die of heart disease, or skull fracture, can be used for transfusion purposes to save the lives of the living. This is now done regularly in the Moscow hospital.
    January 17 — Golden Age
    Italians Were Well Equipped ◆ Dr. Norman Bethune, Canadian surgeon, and head of the Spanish-Canadian Institute for Blood Transfusion, back home after seven months' service in Spain, said that more Spanish people offered themselves for blood transfusion purposes than could be used. The morale was very high. The food was also much better. The Italians helped, albeit unintentionally. He says: After their rout at Guadalajara we ate spaghetti and drank Italian wine for weeks. And an entire loyalist brigade equipped itself with first-class Italian boots, machine guns and supply trucks! Fifteen thousand fresh Italian troops landed in Spain the third week in June.
    December 15 — Consolation
    Keep Children Away from Bears ◆ At Larder Lake, Ontario, the parents of a two-year-old child allowed him to offer a piece of bread to a chained bear. The bear reached out, knocked the child down and bit him so savagely that it took three men to club him off, and a blood transfusion was necessary to save the child’s life. This is a second case of this kind in recent years. The Watchtower proves that imprisonment of wild animals is unscriptural. The bear was not himself. If free to roam he would probably never have attacked the child. The bear was killed.
    March 8 — Consolation
    The Mending of a Heart ◆ In New York city a housewife in moving a boarder’s things accidentally shot herself through the heart with his revolver. She was rushed to a hospital, her left breast was cut around, four ribs were cut away, the heart was lifted out, three stitches were taken, one of the attending physicians in the great emergency gave a quart of his blood for transfusion, and today the woman lives and smiles gaily over what happened to her in the busiest 23 minutes of her life.
    December 25 — Consolation

Knorr

Nathan H. Knorr · 1942–1977

10 readings
  1. 1943 Narrowed

    The earliest criticism

    1 quote
    Horse Blood for Transfusions ♦ At the California Institute of Technology “scientists” have used horse blood in transfusion into humans and for serums for immunization against disease. Dr. Dan H. Campbell, of the institute, reports: We now can use cow or horse blood in transfusions to human [creatures], but the first transfusion sets up a hypersensitivity or allergy in the patient so that a second transfusion is dangerous and may prove fatal. We hope to overcome this in future experiments. Under present methods of immunization, for instance, meningitis germs are injected into a horse. It is these anti-bodies in serums made from the animal’s blood which immunize persons against meningitis. Other serums arc obtained similarly. The divine prohibition as to eating or partaking of blood does not appear to trouble the “scientists".
    December 22 — Consolation
  2. 1944 Unchanged

    A discussion of God's law to Israel explicitly included transfusion in the prohibition on taking blood.

    1 quote
    32 Not only as a descendant of Noah, but now also as one bound by God’s law to Israel which incorporated the everlasting covenant regarding the sanctity of life-sustaining blood, the stranger was forbidden to eat or drink blood, whether by transfusion or by the mouth. (Gen. 9:4; Lev. 17:10-14) Even the touching and eating of a dead carcass not slain by man for needed food required him to undergo cleansing according to God’s law.
    December 1 — The Watchtower
  3. 1945 Narrowed

    The first mention of the blood transfusion topic in the Watchtower. From this year on, the criticism began to grow.

    1 quote
    23 It cannot be said that such regulation applies to the blood of animals lower than man but not to human blood. If the blood of the lower animal creatures was considered so precious, it representing life from the Creator, then certainly the blood of the higher creature, man, was to be considered not less precious. For that reason, if an animal killed a man, the blood of such human life taken was required of the killer beast; it must be killed. As God said to Noah: “And surely your blood of your lives will I require; at the hand of every beast will I require it, and at the hand of man [a man slayer]; at the hand of every man’s brother will I require the life of man.” (Gen. 9:5) This decree therefore brands as criminal the heathen practice according to which bloodthirsty warriors, after killing a mighty man of their enemies, would drink his blood in the belief that by thus absorbing such human blood they would at the same time appropriate the mightly qualities of the slain one. Among the barbarous and fierce, savage nations, such as the Scythians, Tartars, desert Arabs, Scandinavians, etc., who lived most on animal blood, there were some even who drank the blood of their enemies after making cups of their skulls. And quite interestingly, in our consultation of various works on the subject of blood, this related item came to light on page 113, column one, of Volume 4 of The Encyclopedia Americana, Revised Edition of 1929: “Transfusion of blood dates as far back as the time of the ancient Egyptians. The earliest reported case is that practiced on Pope Innocent VIII in 1492. The operation cost the lives of three youths and the Pontiff’s life was not saved. Great strides in the research and practice of transfusion on animals were made after Harvey’s discovery of the circulation of blood in the middle of the 17th century. Physicians in Germany, England and France were especially active in the work of blood transfusion after this discovery. They reasoned that as the blood is the principal medium by which the body is nourished, transfusion, therefore, is a quicker and shorter road to feed an ill-nourished body than eating food which turns to blood after several changes. So transfusion was thought of not only as a cure, but also as a re- juvenator. Attempts were then made to cure various diseases, such as fevers, leprosy, insanity and hydrophobia. Lamb’s blood was used for transfusions into human beings with varying success. Curious to relate, the Faculty of Medicine of Paris refused to recognize Harvey’s discovery and also opposed any progress made in the art of transfusion. They persecuted those who were active in the research work of transfusion. It was in the end of the 18th and in the beginning of the 19th century that the most active work in establishing transfusion as a surgical procedure after haemorrhage was done.”
    July 1 — The Watchtower
  4. 1948–1953 Unchanged

    The publications continued to reject blood transfusions, linking them to the Biblical prohibition on blood and discussing medical objections.

    5 quotes
    Dangers of Blood Transfusion According to God’s law, humans are not to take into their system the blood of others. “Whatsoever soul it be that eateth any manner of blood, even that soul shall be cut off from his people.” “Thou shalt not eat it; that it may go well with thee, and with thy children after thee.” (Leviticus 7:27; Deuteronomy 12:25) In addition to the danger of disobeying God’s law, blood transfusion involves health hazards.
    October 22 — Awake!
    Is Blood Transfusion Scriptural? MANY people today think that blood transfusion in medical practice is a recent innovation. But not so! It is thousands of years old. Did it originate with God? Was it a feature of the Theocratic organization of Jehovah and according to His law given through Moses to the Israelites? This question may arise, in view of the International News Service dispatch from Philadelphia, Pennsylvania, dated July 11, 1948: “A cargo of 13,000 pounds of blood plasma and medical supplies for the infant State of Israel will be flown to the Holy Land tomorrow from Philadelphia. . . . Included in the cargo are 1,000 pounds of plasma, 2,000 blood transfusion sets, 10,000 units of gas gangrene anti-toxin and 216,000 hypodermic needles. The shipment was prepared by American representatives of the Red Star of David, Israel's equivalent of the Red Cross.” The practice of blood transfusion, however, did not originate with God’s organization, and for very fundamental reasons not. It originated with the enemies of Israel and of God. Concerning this The Encyclopedia Americana, revised edition of 1929, says on page 113, column one, of Volume 4, the following: “Transfusion of blood dates as far back as the time of the ancient Egyptians. The earliest reported case is that practiced on Pope Innocent VIII in 1492. The operation cost the lives of three youths and the Pontiff's life was not saved. Great strides in the research and practice of transfusion on animals were made after Harvey’s discovery of the circulation of blood in the middle of the 17th century. Physicians in Germany, England and France were especially active in the work of blood transfusion after this discovery. They reasoned that as the blood is the principal medium by which the body is nourished, transfusion, therefore, is a quicker and shorter road to feed an ill-nourished body than eating food which turns to blood after several changes. So transfusion was thought of not only as a cure, but also as a rejuvenator. Attempts were then made to cure various diseases, such as fevers, leprosy, insanity and hydrophobia. Lamb’s blood was used for transfusions into human beings with varying success. Curious to relate, the Faculty of Medicine of Paris refused to recognize Harvey’s discovery and also opposed any progress made in the art of transfusion. They persecuted those who were active in the research work of transfusion. It was in the end of the 18th and in the beginning of the 19th century that the most active work in establishing transfusion as a surgical procedure after haemorrhage was done.” Shall we now say that those three youths, whose lives it cost to provide the unsuccessful blood transfusion for Pope Innocent VIII in 1492, fulfilled Jesus’ command: “Greater love hath no man than this, that a man lay down his life for his friends”? (John 15:13) This must be countered with the question, Is it right to break the strict commandment of God in order to try to provide life for another? Is breaking God’s commandment love of God, even if it is done while trying to preserve one’s own and another person's present life a little longer? (1 John 5:3) Of course, to a pope it means nothing unscriptural to take directly into his system the blood of three youths, especially when the pope claims by the repeating of the words at mass, "Hic est sanguis meus," to transform the wine into the literal blood of Jesus Christ and then claims to drink such literal blood. Blood is blood to a pope, be it that of Jesus Christ or of other human creatures. When the medical men used lamb's blood for transfusions into human blood streams, they disregarded God’s law to Moses forbidding the mixing of the blood of different species of animal life, namely: “Keep these rules of mine: Never let any of your cattle breed with a different kind; never sow two kinds of seed in your fields; never don a robe made of two different kinds of cloth. You shall not eat any meat with the blood in it.” (Leviticus 19:19, 26, Moffatt) When they poured the shed blood of the lambs, not onto the ground, but into human blood-vessels, they further despised the import of the same Mosaic law: "If anyone belonging to Israel or any alien who has settled among them captures by hunting any beast or bird that may be eaten, he must pour its blood out, covering it with dust; for the soul of every creature is bound up with its blood. Hence my order for Israel is, that you must never taste the blood of any creature, for the soul of every creature lies in its blood; anyone who tastes it shall be outlawed.”—Leviticus 17:13, 14, Moffatt. The law of Moses was given after the Israelites left Egypt, and so when the ancient Egyptians practiced blood transfusion, were they altogether excusable? No; for the law of God which bears upon the subject was given before ever Mizraim was born to Noah’s son Ham and became the father of the Egyptians. When Noah, Ham and the other six emerged from the ark after the flood, Jehovah God established an everlasting covenant with them that extends to all their descendants to this day, and that covenant insists on the sanctity of human as well as other animal blood. God said to them: “Only, you must never eat flesh with the life (that is, the blood) in it. And I will avenge the shedding of your own lifeblood; I will avenge it on any beast, I will avenge man's life on man, upon his brother-man; whoever sheds human blood, by human hands shall his own blood be shed—for God made man in his own likeness." (Genesis 9:4-6, Moffatt) Of course, the flesh of animal creatures might be eaten to sustain life and without violating the sacredness of the life which is in the blood. Yet, if the blood was eaten or drunk in conjunction with the flesh, then the one partaking of the blood was judged by God to be guilty of wanton slaying of the life of such creatures and was a breaker of the covenant. God's regulation clearly showed that one's partaking of the blood was not necessary to sustain human life and that it was not in the same classification as the partaking of flesh as food. It cannot be said that such regulation applies to the blood of animals lower than man but not to human blood. If the blood of lower animals was considered so precious, it representing life from the Creator, then certainly the blood of the higher creature, man, was to be rated as not less precious. For that reason, if an animal killed a man, the blood of such human life taken was required of the killer beast; it must be killed. This decree therefore brands as criminal the heathen practice according to which bloodthirsty warriors, after killing a mighty man of their enemies, would drink his blood in the belief that by absorbing such blood they would at the same time appropriate the mighty qualities of the slain one. Among the barbarous and fierce, savage nations of old, such as the Scythians, Tartars, desert Arabs, Scandinavians, etc., who lived mostly on animal blood, there were some even who drank the blood of their foes after making cups of their skulls. The everlasting covenant as to the sanctity of creature blood carries beyond the abolition of the Mosaic law covenant. Years after Jesus’ death His disciples had a conference concerning Gentile Christians. Then the disciple James said: “My sentence is, that we trouble not them, which from among the Gentiles are turned to God: but that we write unto them that they abstain from pollutions of idols, and from fornication, and from things strangled, and from blood.” Then that conference of apostles and elder disciples framed a letter. Besides telling the Gentiles they were not under the Mosaic law covenant, they inserted this: “For it seemed good to the holy spirit, and to us, to lay upon you no greater burden than these necessary things; that ye abstain from meats offered to idols, and from blood, and from things strangled [not drained of their blood at slaughter], and from fornication.” (Acts 15:6-29) That the Christians stuck to that decision for years afterward is evident from the account at Acts 21:25. Christians to this day are letting that decision influence them in their decisions respecting medical blood transfusions. They do not view such transfusions as acceptable sacrifices made supposedly for the lives of others, but remember King David's words in his prophecy of Christ: “Their sorrows shall be multiplied that hasten after another god: their drink offerings of blood will I not offer.”—Psalm 16:4.
    September 22 — Awake!
    You say that “at a blood transfusion the person receiving the blood is in great need of it; the transfusion is not undertaken because he is greedy for it”. How can you say this? For when a doctor tells a patient that he must have a blood transfusion or else he cannot get well and live, what does the doctor create in the patient but a greed for the blood of another human creature?
    May 15 — The Watchtower
    Too Many Blood Transfusions ● A doctors’ journal questioned today the need for so many blood transfusions in British hospitals. “If things continue at this rate,” the Medical Press warned, “it would seem as if a time must soon come when one fraction of the population will be living on the blood of the remainder.” The journal said the amount of blood transfused in hospital cases in this country has more than doubled in the last five years.—Associated Press dispatch in Washington, D.C., Evening Star, December 19, 1951.
    February 15 — The Watchtower
    Transferring blood from the veins or arteries of one person to another. As in intravenous feeding, it is a feeding upon blood. An unscriptural practice.
    Make Sure Of All Things
  5. 1958 Unchanged

    The publications condemned voluntary transfusions but stated that congregations had not been instructed to disfellowship those accepting or approving them.

    1 quote
    One of Jehovah’s witnesses who claims to be of the anointed remnant recently went to the hospital and took a blood transfusion, voluntarily. Should she be allowed to partake of the emblems of bread and wine at Memorial time?—R. J., United States. We, of course, regret with you that this sister who professes to be one of the anointed remnant took a blood transfusion voluntarily during her stay in the hospital. We believe that she did the wrong thing contrary to the will of God. However, congregations have never been instructed to disfellowship those who voluntarily take blood transfusions or approve them. We let the judgment of such violators of God’s law concerning the sacredness of blood remain with Jehovah, the Supreme Judge.
    August 1 — The Watchtower
  6. 1961 Narrowed

    They started talking about disfellowshipping.

    1 quote
    Hence a Christian who deliberately receives a blood transfusion and thus does not keep himself from blood will not prosper spiritually. According to the law of Moses, which set forth shadows of things to come, the receiver of a blood transfusion must be cut off from God’s people by excommunication or disfellowshiping. If the taking of a blood transfusion is the first offense of a dedicated, baptized Christian due to his immaturity or lack of Christian stability and he sees the error of his action and grieves and repents over it and begs divine forgiveness and forgiveness of God’s congregation on earth, then mercy should be extended to him and he need not be disfellowshiped. He needs to be put under surveillance and to be instructed thoroughly according to the Scriptures upon this subject, and thereby be helped to acquire strength to make decisions according to the Christian standard in any future cases. If, however, he refuses to acknowledge his nonconformity to the required Christian standard and makes the matter an issue in the Christian congregation and endeavors to influence others therein to his support; or, if in the future he persists in accepting blood transfusions or in donating blood toward the carrying out of this medical practice upon others, he shows that he has really not repented, but is deliberately opposed to God’s requirements. As a rebellious opposer and unfaithful example to fellow members of the Christian congregation he must be cut off therefrom by disfellowshiping. Thereby the Christian congregation vindicates itself from any charge of connivance at the infraction of God’s law by a member of the congregation through blood transfusion, and it upholds the proper Christian standard before all the members of the Christian congregation, and keeps itself clean from the blood of all men, even as the apostle Paul did who promulgated to the various Gentile congregations the apostolic decree handed down at Jerusalem.—Acts 20:26.
    January 15 — The Watchtower
  7. 1961 Introduced

    Donating eyes or other body parts after death for transplantation or scientific use was left to individual conscience.

    1 quote
    Is there anything in the Bible against giving one’s eyes (after death) to be transplanted to some living person?—L. C., United States. The question of placing one’s body or parts of one’s body at the disposal of men of science or doctors at one’s death for purposes of scientific experimentation or replacement in others is frowned upon by certain religious bodies. However, it does not seem that any Scriptural principle or law is involved. It therefore is something that each individual must decide for himself. If he is satisfied in his own mind and conscience that this is a proper thing to do, then he can make such provision, and no one else should criticize him for doing so. On the other hand, no one should be criticized for refusing to enter into any such agreement.
    w61 August 1 — The Watchtower—1961 (1961)
  8. 1967 Reversal

    Organ transplantation is condemned

    1 quote
    When there is a diseased or defective organ, the usual way health is restored is by taking in nutrients. The body uses the food eaten to repair or heal the organ, gradually replacing the cells. When men of science conclude that this normal process will no longer work and they suggest removing the organ and replacing it directly with an organ from another human, this is simply a shortcut. Those who submit to such operations are thus living off the flesh of another human. That is cannibalistic. However, in allowing man to eat animal flesh Jehovah God did not grant permission for humans to try to perpetuate their lives by cannibalistically taking into their bodies human flesh, whether chewed or in the form of whole organs or body parts taken from others.
    w67 November 15 — The Watchtower—1967 (1967)
  9. 1969 Unchanged

    The condemnation of organ transplantation as cannibalism was repeated.

    1 quote
    No person in his right mind wants to die. Life is precious, so man wants to live. But cannibalizing human organs is not the answer to longevity. The answer can come only in Jehovah God's new order after the end of this system of things. As God's inspired Word guarantees at Revelation 21:4: "He will wipe out every tear from their eyes, and death will be no more, neither will mourning nor outcry nor pain be any more.
    g69 October 22 — Awake!—1969 (1969)
  10. 1974 Introduced

    Blood transfusions and major blood components used for a similar purpose remained unacceptable, but the decision to accept a serum containing a minute blood fraction for passive immunity was left to individual Christian conscience.

    1 quote
    We believe that here the conscience of each Christian must decide. Some may feel that accepting such a serum does not constitute an act of disrespect for the sacredness of life and of God as the life Source, that it does not constitute a flouting of God's expressed will concerning the use of blood to feed the body. On the other hand, the conscience of others may call on them to reject all such serums.
    The Watchtower, June 1, 1974

Franz

Frederick W. Franz · 1977–1992

6 readings
  1. 1978 Refined

    The publications recognized that a Christian might conscientiously permit heart-lung machines or hemodialysis when the apparatus was primed with nonblood fluid and the patient's blood circulated through the equipment and back into the body.

    1 quote
    There are Christian witnesses of Jehovah who, with a good conscience, have allowed these devices to be used, provided that the machines were primed with a nonblood fluid, such as Ringer's lactate solution.
    The Watchtower, June 15, 1978
  2. 1980 Reversal

    Organ transplants are allowed again

    1 quote
    Clearly, personal views and conscientious feelings vary on this issue of transplantation. It is well known that the use of human materials for human consumption varies all the way from minor items, such as hormones and corneas, to major organs, such as kidneys and hearts. While the Bible specifically forbids consuming blood, there is no Biblical command pointedly forbidding the taking in of other human tissue. For this reason, each individual faced with making a decision on this matter should carefully and prayerfully weigh matters and then decide conscientiously what he or she could or could not do before God. It is a matter for personal decision. (Gal. 6:5) The congregation judicial committee would not take disciplinary action if someone accepted an organ transplant.
    w80 March 15 — The Watchtower—1980 (1980)
  3. 1982 Unchanged

    The individual-conscience position on cornea, kidney, and other organ or tissue transplantation, already adopted in 1980, was repeated.

    1 quote
    The Witnesses do not feel that the Bible comments directly on organ transplants; hence, decisions regarding cornea, kidney, or other tissue transplants must be made by the individual Witness.
    Awake!, June 22, 1982
  4. 1984 Refined

    Bone-marrow transplantation was addressed separately because marrow is tissue but a graft taken from a living donor may contain blood. The patient had to consider the distinction between tissue and unbled tissue, as well as the broader transplantation principles.

    1 quote
    Hence, the Christian would have to resolve for himself whether—to him—the bone-marrow graft would amount to simple flesh or would be unbled tissue.
    The Watchtower, May 15, 1984
  5. 1989 Refined

    Preoperative collection and storage of a patient's own blood for subsequent reinfusion remained prohibited. Procedures involving blood temporarily diverted through medical equipment, including closed-circuit hemodilution and intraoperative blood salvage, required a conscientious decision about whether the blood remained part of the patient's circulation.

    2 quotes
    This clearly rules out one common use of autologous blood — preoperative collection, storage, and later infusion of a patient's own blood.
    The Watchtower, March 1, 1989
    Again, each individual must decide whether he would consider the blood diverted in such a hemodilution circuit to be similar to that flowing through a heart/lung machine, or he would think of it as blood that left him and therefore should be disposed of.
    The Watchtower, March 1, 1989
  6. 1990 Refined

    The publications explicitly distinguished whole blood and the four principal blood components, which were prohibited for transfusion, from minor blood fractions, which remained matters of conscience. The natural passage of certain plasma proteins from a pregnant woman to her fetus was offered as an additional consideration for accepting some fractions.

    2 quotes
    Hence, Jehovah’s Witnesses do not accept transfusions of whole blood or of its primary components (red cells, white cells, platelets, or plasma) used to accomplish a similar purpose.
    The Watchtower, June 1, 1990
    That some protein fractions from the plasma do move naturally into the blood system of another individual (the fetus) may be another consideration when a Christian is deciding whether he will accept immune globulin, albumin, or similar injections of plasma fractions.
    The Watchtower, June 1, 1990

Governing Body

1992–

11 readings
  1. 2000 Unchanged

    The teaching that organ transplantation was an individual matter of conscience was reaffirmed in connection with a successful liver transplant performed without a blood transfusion.

    1 quote
    Jehovah’s Witnesses view organ transplant operations as a matter of individual conscience.
    Awake!, January 8, 2000
  2. 2000 Broadened

    Personal conscience was explicitly extended to fractions obtained from any of the four primary blood components, including fractions derived from red cells, white cells, and platelets, rather than only the plasma fractions traditionally discussed.

    1 quote
    Beyond that, when it comes to fractions of any of the primary components, each Christian, after careful and prayerful meditation, must conscientiously decide for himself.
    The Watchtower, June 15, 2000
  3. 2000 Refined

    A disciplinary procedural change was implemented in April 2000 and publicly explained in June. Instead of the congregation initiating removal of a baptized person who willfully and without regret accepted a prohibited transfusion, that person's action was treated as self-disassociation. The organization stated that the resulting loss of membership was unchanged.

    2 quotes
    This represents a procedural change instituted in April 2000 in which the congregation no longer initiates the action to revoke membership in such cases.
    Watch Tower Bible and Tract Society, Official Statement to the Media on Blood Transfusions, June 15, 2000
    However, the end result is the same; the individual is no longer viewed as one of Jehovah's Witnesses because he no longer accepts and follows a core tenet of the faith.
    Watch Tower Bible and Tract Society, Official Statement to the Media on Blood Transfusions, June 15, 2000
  4. 2000 Unchanged

    The prohibition on donating blood or collecting and storing one's own blood for later transfusion was reaffirmed, even while other medical procedures involving one's own blood were left to individual conscience.

    1 quote
    Blood is not to be stored; it is to be poured out—returned to God, as it were. Granted, the Mosaic Law is not in force now. Nevertheless, Jehovah's Witnesses respect the principles God included in it, and they are determined to 'abstain from blood.' Hence, we do not donate blood, nor do we store for transfusion our blood that should be 'poured out.'
    The Watchtower, October 15, 2000
  5. 2004–2024 Unchanged

    The earlier distinction between prohibited transfusions of whole blood or the four principal components and potentially acceptable minor fractions continued to be taught. The 2024 medical information document explicitly maintained the prohibition on all four primary components before the adjustment of September 2026.

    2 quotes
    The above material shows that Jehovah’s Witnesses refuse transfusions of both whole blood and its primary blood components. The Bible directs Christians to ‘abstain from things sacrificed to idols and from blood and from fornication.’
    The Watchtower, June 15, 2004
    While those verses are not stated in medical terms, Witnesses view them as ruling out transfusions of whole blood, red blood cells, white blood cells, platelets, and plasma.
    Religious and Ethical Position on Medical Therapy and Related Matters, January 2024
  6. 2024 Unchanged

    Accepting an organ transplant and donating an organ remained personal medical decisions, rather than prohibited actions.

    1 quote
    While the Bible specifically forbids consuming blood, no Biblical command pointedly forbids the taking in of tissue or bone. Therefore, whether to accept an organ transplant or make an organ donation is a personal medical decision.
    Religious and Ethical Position on Medical Therapy and Related Matters, January 2024
  7. 2024 Refined

    The publications now explicitly stated that bone marrow is not equivalent to blood and that accepting a bone-marrow transplant is a personal decision, clarifying the earlier discussion of whether a graft could contain unbled tissue.

    1 quote
    Since the Bible does not consider bone marrow equivalent to blood, the decision to accept a bone-marrow transplant is a personal one.
    Religious and Ethical Position on Medical Therapy and Related Matters, January 2024
  8. 2026 Reversal

    The March 2026 clarification made all medical and surgical uses of a patient's own blood matters of individual conscience. This replaced the former categorical rejection of storing one's own blood for later transfusion with a general personal-decision principle.

    2 quotes
    Furthermore, the Bible does not comment on the use of a person’s own blood in medical and surgical care.
    2026 Governing Body Update #2, March 20, 2026, quoted in Questions From Readers, September 18, 2026
    Therefore, like other choices about health care, each Christian must make his own decision about the use of his own blood in all medical and surgical care.
    2026 Governing Body Update #2, March 20, 2026, quoted in Questions From Readers, September 18, 2026
  9. 2026 Reversal

    In September 2026, the Governing Body reversed the categorical prohibition on receiving the four primary components derived from another person's blood. Accepting or declining red cells, white cells, plasma, or platelets became a personal decision, and the congregation was instructed not to intervene or judge the individual's decision.

    3 quotes
    After further prayerful consideration, the Governing Body has decided that this same principle applies to the four primary components of whole blood—red cells, white cells, plasma, and platelets—that are derived from another person’s blood.
    Questions From Readers, September 18, 2026
    Therefore, each Christian must make his own personal decision about the use of these four primary components in all medical and surgical care.
    Questions From Readers, September 18, 2026
    After considering these and other factors, each Christian must decide whether or not he will accept a component or fraction derived from another person’s blood. The congregation will not get involved in that decision, and individual Christians should not judge others.
    Questions From Readers, September 18, 2026
  10. 2026 Broadened

    The former general prohibition on donating blood was broadened to permit individual conscientious decisions about donations explicitly intended for producing components or fractions for other people. Donation for use as a whole-blood transfusion remained prohibited.

    1 quote
    Likewise, each Christian must decide whether to donate blood for the clearly expressed purpose of providing components or fractions for use by another person.
    Questions From Readers, September 18, 2026
  11. 2026 Unchanged

    Despite the new freedom of conscience concerning the four primary components and the use of one's own blood, the prohibition on transfusions of whole blood and donating blood intended for whole-blood transfusion was expressly retained.

    1 quote
    Jehovah’s Witnesses do not accept transfusions of whole blood, nor do we donate blood that would be used as a whole blood transfusion to another person.
    Questions From Readers, September 18, 2026