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Camille Castelyn and Professor Sarosh Saleem, MBBS, MS, PhD discuss religion, cultural views, and traditional gender roles in the context of organ donation and clinical ethics consultations in Pakistan. Dr. Saleem held the the first postgraduate Fellowship in Pediatric Bioethics in Pakistan and is the Founder of Pakistan’s only Bioethics Department involved in teaching and training of both undergraduate and post-graduate students (medical & nursing) and held a Fellowship in Pediatric Bioethics from Children’s Mercy Kansas City, MO USA.