@deanna2, Welcome to the transplant discussion group. I am a recipient, and am not qualified to speak from the donor's family perspective. However, I do have a personal experience that I will share.

I used to volunteer with my regional organ donor affiliate group. And I was fortunate to be on the welcoming team for several donor recognition events. On one particular event, I met a couple who were grieving their son who had been an organ donor at the time of his death. They were happy that they had received a letter from one of his recipients. I shared my experience - the guilt, the grief, the letter from the donor mom and my reaction (as I shared in my previous post/article). She said she (donor mom) never even knew that she could write a letter to the recipient. Weeks later, I got a letter from her husband (he had tracked me down via the donor affiliate group). He told me that she found peace in writing to the recipient, and he thanked me for giving her the idea.

I think that many people have a difficult time to put things into words on paper. For me, a letter to my donor family was difficult to write. I wanted it short and to the point. I wanted to express sorrow for their loss and gratitude for the gift. Not an easy task for me as a recipient, and even more difficult for a grieving donor family member.

Deanna, Are you a recipient or a donor family member? What would be your preferences to send/receive a letter?

You can read what some other members have shared in the transplant discussion:
Writing to Your Donor's Family.
https://connect.mayoclinic.org/discussion/writing-to-your-donors-family/