Lebanese Black Market Syrian Refugees Sell Organs to Survive

In the shadow of the Syrian civil war, a growing number of refugees are surviving in Lebanon by illegally selling their own organs. But the exchange comes at a huge cost.

A young man Syrian refugee named Raïd, shown here, recently sold his kidney as part of a growing illegal organ trade in Lebanon.
Ulrike Putz/ DER SPIEGEL

A young man Syrian refugee named Raïd, shown here, recently sold his kidney as part of a growing illegal organ trade in Lebanon.

The young man, who called himself Raïd, wasn't doing well. He climbed into the backseat of the car, in pain, careful not to touch any corners. He was exhausted and dizzy. A large bandage looped around his stomach, caked with blood. Despite that, the 19-year-old Syrian wanted to tell his story.

Seven months ago, he fled the embattled city of Aleppo, in Syria, to Lebanon with his parents and six siblings. The family quickly ran out of money in the capital, Beirut. Raïd heard from a relative that the solution could be to sell one of his kidneys, and then he spoke to a bull-necked man, now sitting in the passenger seat, smoking and drinking a beer.

His acquaintances call the man Abu Hussein. He said he's employed by a gang that works in the human organ trade - specializing in kidneys. The group's business is booming. About one million Syrians have fled into Lebanon because of the civil war in their home country and now many don't know how they can make a living. In their distress, they sell their organs. It's a dangerous and, of course, illegal business. That's why the gang has its operations performed in shady underground clinics.

Abu Hussein's boss is known in the poor areas of Beirut as "Big Man." Fifteen months ago, Big Man gave the 26-year-old a new assignment: find organ donors. The influx of Syrian refugees from the war, Abu Hussein's boss argued, made it more likely people would be willing to sell organs.

'More Sellers Than Buyers'

Lebanon has a tradition of illegal organ trading. The country has immensely rich people and a huge number of people living in poverty. And organ traffickers don't need to worry about government controls. Those are exactly the ideal conditions for organ trafficking, said Luc Noel, transplant expert at the World Health Organization in Geneva.

Every year, tens of thousands of rich Arabs from around the region come to Beirut for treatment in the country's excellent hospitals. The authorities don't pay attention whether a patient flies home with a new nose -- or with a new kidney.

Previously, it was mostly destitute Palestinians who sold their organs. Then came the war in Syria, and then the refugees. Now the groups are in competition and the prices are falling.

"When it comes to kidneys, we now have far more sellers than buyers," said Abu Hussein. He added that four of the Big Man's other recruiters have brokered the sales of 150 kidneys in the past 12 months. According to Abu Hussein, other gangs are doing similarly well.

Experts estimate that 5,000 to 10,000 kidneys are illegally transplanted per year worldwide. "Many of our products go abroad to, for example, the Persian Gulf," said Abu Hussein. But Big Man also has customers in the US and Europe, he said.

Enough to Survive On Until Spring

Raïd had no trouble selling his left kidney because he was fit and didn't smoke. He played for the Syrian national youth soccer team. During the examinations doctors told him lies evidently meant to calm him down. With a little luck, the kidney would grow back, he was told, and there wouldn't be any after-effects. In truth, live donors need to undergo check-ups for years after the operation, and people like Raïd can't afford that kind of treatment.

He got $7,000 (€5,200) for his kidney. "While I drove Raïd and his mother to the clinic, a colleague of mine was shopping with the father," says Abu Hussein. The family lacked everything: Raïd's father bought mattresses and winter clothing, a fridge and an oven, and took it all to the one room the family of eight lives in today. They have enough left over to get through the winter. And then? "I don't know," says Raïd.

Abu Hussein says everyone benefits from the organ trade. The Syrians get money and the sick -- who pay up to $15,000 for a new kidney -- get a new life. He himself wins too, he added. He gets $600 to $700 commission for every sale he arranges. That's as much as a Lebanese teacher earns in a month.

'I Don't Care If You Die'

Abu Hussein said that in the last few months he has driven 15 or 16 kidney donors - all of them Syrians aged between 14 and 30 - to the secret clinic masquerading as a residential building. The clinic has the most modern medical equipment and doesn't want to limit itself to kidneys. "I'm currently looking for someone who has an eye for sale."

Later that evening it became evident not everyone benefits from this trade. Raïd, sitting in the back of the car, was feeling unwell. His kidney had been cut out from the front, seven days ago. "I need the drugs. You said you would get me the drugs," he said to Abu Hussein who just minutes earlier had been bragging how well his organization took care of the Syrians.

But when Raïd asks for painkillers, Abu Hussein shouts at him: "Shut up. I don't care if you die. You're finished anyway."

Discuss this issue with other readers!
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lama_just@hotmail.com 11/14/2013
It's the Responsibility of the whole WORLD
spon-facebook-1318715495 11/21/2013
2. Medical aid for patients
What kind of crazy medical aid is this? The patient should't be shoved into a car with no after-care instructions, no pain medicines, no antibiotics, no instructions on how to keep wound clean, etc. These are people who need care!Treat them that way!
artemis_hospita 04/28/2016
3. artemishospital49@gmail.com
This is to inform the general public Male, Female who are healthy and �0 serious in selling their kidney should urgently contact Artemis Hospital. As we have a lot of patients who are here for kidney transplant, Are you seeking for an opportunity to sell your kidney for money due to financial break down and we shall offer you $400,000USD for your Kidney. My name's are Doctor Davis Morgan, i am a Nephrologist in India Artemis Surgical Hospital. Our hospital specialized in Kidney Surgery/ transplant and other organ treatment, we also deal with buying and transplantation of kidneys with a living and healthy donor. We are located in India. If you are interested in selling your kidney please don’t hesitate to contact us via Email:artemishospital49@gmail.com .com Address: Plot No. 14, Road Number 226, Sector 20, Near Metro Station 9 Dwarka, New Delhi, Delhi 110075 Please Note: Internet there are a lot of people with different motive.sincere and truthful we are not kids, this is about saving lives of others. Fraudulent is not accepted please. Best Regards. Dr. Davis Morgan +917411715121 Email:artemishospital49@gmail.com
leon_brierley 08/02/2016
4. fixing a problem
the problem is no the treatment of the fake migrants but filling a need for people who are worth more to keep alive so if a person wants to market organs from people who are needing money that is good they can get the money they need and stop flooding the gates of civilized countries looking for a handout if they want to surrender a third of what they earn to pay for there cost to the host nation then let them in on a limited bases as for after care he can buy his own meds from the cash he was paid and piss off
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