Perfect is the enemy of good: the Iranian system of paid donation.

We read the article and editorial titled ‘‘Comparison of health status and quality of life of related versus paid unrelated living kidney donors’’ and ‘‘Where there is smoke there is fire: The Iranian system of paid donation.’’ They tried to shed light on the darker side of living-unrelated donation (1,2). As there is no concrete solution for organ shortage, it is the responsibility of experts to discuss different aspects of every possible system to clarify its weaknesses and strengths.We fully agreewith the authors that the lack of long-term donor follow-up and the direct method of payment by the recipient in the Iranianmodel are major weak points (3).