"Nevertheless, the question remains if the consciousness of the dying person could be adversely affected by organ transplant, since the surgery must take place immediately upon the cessation of the breath. According to Tibetan Buddhism, the consciousness may remain in the body for hours or occasionally days after the breath has stopped. During the time between the cessation of the breath and the departure of the subtlest consciousness from the body – which is the actual moment of death – it is important for the body to be undisturbed so that the consciousness can naturally absorb into subtler states. If the body is operated upon, the consciousness may be disturbed and this could adversely affect the person’s next rebirth.
On the other hand, some people have very powerful compassion and wish to donate their organs even if it could disturb their consciousness at the time of death. Such compassion for others who could use the organs is certainly admirable. "
http://preciousmetal.wordpress.com/2009/07/13/organ-donation-and-impermanence/
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