Donating bone marrow

Bone marrow donation is an important commitment to help save a life. Understanding the process and impact can help you decide if donating is right for you.

What is bone marrow?

Bone marrow is a soft tissue found inside bones; it contains blood stem cells. These blood stem cells can develop into a variety of different blood cells: red blood cells that carry oxygen, white blood cells that fight infection and platelets that make blood clot. Those new blood cells are then distributed throughout the body.

What does it mean to be a bone marrow donor?

For many patients with blood cancers and other disorders, a blood stem cell donation from an unrelated donor is their only chance at a cure. Donation can be done by collecting peripheral blood stem cells (PBSC) or bone marrow. Even though bone marrow collections only make up about 10% of total donations to patients, the need for this type of donation can be critical.

Transplant physicians may select bone marrow over PBSC because chronic graft-versus-host disease (GVHD)—a complication that occurs when the donor’s blood stem cells attack healthy cells in the patient—is a lower risk and is less severe than in PBSC transplants. For pediatric patients undergoing allogeneic transplant, survival rates are higher for marrow than PBSC.

The bone marrow donation process

Bone marrow is collected during a surgical procedure while you’re under anesthesia. You’ll typically be at the hospital from early in the morning until late afternoon, although some donors are asked to stay overnight. (Don’t worry—NMDP covers all costs related to donation in either case.) Once you’ve donated, a courier will transport your bone marrow to the patient.

Get more information about the process and an overview of the timeline.

The impact of bone marrow donation

Alexandria, a bone marrow donor, had no idea the experience would affect her as much as it did. “It's really humbling [that] something so small could end up with something so big,” she said. Follow along as she walks through being contacted as a match, donating, reflecting afterward and experiencing all the feelings that come from such a momentous act.

Frequently asked questions

Because bone marrow donation is more complex than donating blood, you likely have questions regarding preparation, recovery and the process itself. Staff at your donor center can answer many of your questions. However, you can find answers to frequently asked questions on our site.

Get answers

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