The purpose of this article is to examine organ trafficking and transplant management from a supplier’s or vendor’s perspective, and identify its corresponding health policy implications. A probability sample of living organ vendors from Colombia was surveyed using interviewer-administered questionnaires. The study found that trafficking and relative abundance in the supply of human organs in developing countries, like Colombia, are encouraged by brokered and compensation-based markets involving unrelated organ buyers and sellers, many of whom were foreigners at the time of this study. The state’s regulatory capacity is undermined by patron-client ties, ineffectiveness and corruption in law-enforcement, public tolerance/indifference and the unintended consequences of health policies. A proactive and developmental role for the state requires efficient and creative monitoring and regulatory approaches in light of ever-changing trading rules and operations. Without directly addressing the ambiguity and conti...