This chapter makes further ethical commentaries in response to the findings as described in Chaps. 2 and 3. We contend that it is not the case that only one type of incentive can be justified to motivate organ donation in mainland China. In particular, we argue that while each of the three types of incentive (honorary, compensationalist, and familist) can work, some particular incentive measures can be ethically justified and be the most motivating in the context of mainland China. Based (...) on our findings and arguments, we revisit the orientation of China’s organ donation reform and attempt to provide some recommendations for future policy considerations. (shrink)