Background: Considering the growing organ demand worldwide, it is mandatory to optimise organ procurement and training of surgeons in order to reduce injury of organs during procurement and increase the quality of transplanted organs. In the Netherlands a complete trajectory from training of surgeons in procurement surgery to the quality assessment of the procured organs was implemented in 2010. This mandatory trajectory comprises three training and certification modules: E-learning, training-on-the-job and a Masterclass. A national committee of supervisors of the procurement teams and policy makers of the Dutch Transplant Foundation has been established to monitor the 32 surgeons that started with the curriculum and to further improve the quality of the procured organs. Methods/Material: Thanks to the ACCORD Joint Action project (Achieving Comprehensive Coordination in Organ Donation), co-funded under the European Commission Health Programme , three twinning activities to exchange best practices between countries are being overseen by France. The Dutch trajectory is being adapted and implemented in Hungary, as one of these twinning activities. Results: The E-learning was tested by a panel of 6 Hungarian surgeons and 56 surgeons from the United Kingdom and was accredited in July 2013 by the European Accreditation Council for Continuing Medical Education of the European Union of Medical Specialist. As a pilot phase for future national training, 6 Hungarian surgeons from the Semmelweis University are being trained: they already fulfilled their E-learning, training on the job activities are progressing, and a Masterclass in Hungary is programmed in 01/2014. Conclusion: There is great potential for sharing best practices and especially to export this standardized training in organ procurement surgery to other European countries and even broader, with the final aim to provide a national training to all countries lacking one and to improve quality and safety criteria of donated organs