Life style
Life changing advancements of organ donation and transplantation in Sri Lanaka
Dr. Niroshan Seneviratne, Consultant Urologist and Transplant Surgeon at Sri Jayewardenepura General Hospital recently delivered the prestigious SAARC oration at the College of Surgeons. He has been at the forefront of advancing kidney transplantation in the country.
Dr. Seneviratne’s pioneering work includes introducing laparoscopic donor nephrectomy and robotic-assisted surgeries to Sri Lanka. As a co-founder of the Organ Donation and Transplant Foundation, he has been instrumental in raising awareness about organ donation and establishing the National Organ Donor Card program.
His leadership extends beyond national borders, serving as the President of the International Community for Belt & Road Cooperation Alliance on Organ Donation & Transplantation. Dr. Seneviratne’s dedication to advancing transplant surgery and urology in Sri Lanka has not only saved countless lives but also positioned the country as an emerging leader in organ transplantation in the region.
Revolutionizing Kidney Donation and Transplantation: Dr. Niroshan Seneviratne and the transplant team of Sri Jayewardenepura General Hospital lead the Way.
In the realm of organ transplantation, Sri Lanka has made remarkable strides, particularly in kidney transplantation. At the forefront of this medical revolution is the dedicated transplant team at Sri Jayewardenepura General Hospital (SJGH), led by Dr. Niroshan Seneviratne. Their groundbreaking work has become a beacon of hope for those suffering from end-stage renal disease. Today, we delve into the life-changing advancements being made at SJGH, focusing on their pioneering laparoscopic donor nephrectomy program. Successful organ transplantation relies on a dedicated team working with passion, trust, and compassion, united in their mission to save lives.
How serious is the kidney disease problem in Sri Lanka?
Chronic kidney disease (CKD) has become a silent epidemic in Sri Lanka, affecting nearly 150,000 people. Imagine a city the size of Galle, with every resident battling this life-threatening condition. Even more alarming, about 20,000 suffer from a mysterious type called CKD of unknown etiology (CKDu). Each year, approximately 3,000 families lose a loved one to CKD-related complications. These staggering numbers underscore the urgent need for effective treatment options, with kidney transplantation offering the best hope for many.
What options are available for patients with end-stage kidney disease in Sri Lanka?
Patients with end-stage renal disease in Sri Lanka have two main options for renal replacement therapy: dialysis (either hemodialysis or peritoneal dialysis) and kidney transplantation. While both options are available, kidney transplantation is generally considered the best option for long-term survival and quality of life. However, the availability of transplantation is limited by factors such as donor availability and healthcare resources
How has kidney transplantation progressed in Sri Lanka?
Kidney transplantation in Sri Lanka has shown significant progress since its inception. The first kidney transplant was performed in 1985, and by 2022, the country was performing over 200 transplants annually. Sri Jayawardenapura General Hospital has emerged as a leading centre for transplantation, performing both living donor and deceased donor transplants. The country has also adopted advanced techniques such as laparoscopic donor nephrectomy, which has largely replaced open surgery for kidney removal from living donors
What makes Sri Jayewardenepura General Hospital unique in its approach to kidney transplantation?
Our team at SJGH has emerged as a pioneer in kidney transplantation, particularly in the field of laparoscopic donor nephrectomy. This minimally invasive surgical technique for kidney removal from living donors has revolutionized the transplantation process. We are currently the only centre in Sri Lanka routinely performing this advanced procedure, making it a beacon of hope for patients and donors alike.
Can you explain what laparoscopic donor nephrectomy is and why it’s significant?
Imagine being able to give the gift of life with minimal impact on your own. That’s what laparoscopic donor nephrectomy offers. Unlike traditional open surgery, which requires a large incision, this procedure is performed through several small incisions using specialized instruments and a camera. For donors, this means less pain, quicker recovery, and better cosmetic results. It’s a game-changer that’s making more people consider becoming living donors.
Why is it important to emphasize that the donor is not a patient?
A donor is not just a patient; they become an ambassador to society after the surgery, conveying the message: “I feel good about kidney donation; it’s your chance to save lives.”
The donor does not benefit from the surgical incision; the incision is made for the surgeons to remove the kidney. The larger the patient, the larger the incision required. This is why, in laparoscopic surgery, the incision is smaller. Additionally, the availability of 3D technology enhances the precision of the surgery, minimizing tissue damage to the donor.
It’s crucial to remember that kidney donors are everyday heroes making a selfless decision to save someone else’s life. They’re not sick; they’re choosing to give a part of themselves to help another. By using laparoscopic techniques, we ensure that these generous individuals experience minimal disruption to their lives. The reduced recovery time and decreased pain allow donors to return to their normal activities much sooner, making their act of kindness easier on them and their families.

Dr. Niroshan Seneviratne, Consultant Urologist and Transplant Surgeon at Sri Jayewardenepura General Hospital recently delivered the prestigious SAARC oration at the College of Surgeons. He has been at the forefront of advancing kidney transplantation in the country.
What are some challenges facing organ transplantation in Sri Lanka?
Despite progress, organ transplantation in Sri Lanka faces several challenges. These include limited resources for dialysis (with only 107 dialysis centers and 785 dialysis machines nationwide), a shortage of specialized medical professionals (for example, there are only 36 adult nephrologists in the country), low political commitment and funding for organ donation and transplantation programs, and limited public awareness coupled with cultural resistance to organ donation. These factors collectively hinder the expansion of transplantation services and the increase in donor availability
Why is promoting deceased organ donation particularly important for Sri Lanka’s healthcare?
Sri Lanka, like many low and middle-income countries, is heavily dependent on living donors for organ transplantation. However, this creates ethical dilemmas. Deceased donation offers a way to expand the donor pool without these concerns. By focusing on promoting deceased organ donation, Sri Lanka can address its kidney disease crisis more effectively, reduce healthcare costs, improve patient outcomes, and build a more self-sufficient and ethical organ transplantation system.
How is Sri Lanka trying to increase the number of kidney donors?
We are taking several innovative steps to increase kidney donation. These include expanding the living donor pool by carefully evaluating and accepting medically and surgically complex donors, promoting deceased organ donation through public awareness campaigns, and organizing events like National Organ Donor Day to encourage donor registration. In collaboration with the Ministry of Health, we’ve launched a National Organ Donor Card and created a database of registered donors. A website (www.odtfsrilanka.com) has been developed to share inspiring organ donation stories, aiming to educate and inspire potential donors.
What are the future goals for the transplantation program in Sri Lanka?
The futuristic goals in organ donation include the establishment of a simultaneous pancreas-kidney transplant program, which involves transplanting both a kidney and a pancreas together. This approach benefits kidney transplant patients with long-standing diabetes by helping to ensure their new kidney functions for a much longer time. Additionally, there is a goal to commence multi-organ donation, allowing for the possibility of saving eight lives through the donation of the heart, lungs, liver, pancreas, intestines, and kidneys. It is important to recognize that every citizen has the civic right to become an organ donor. The advancement of robotic transplantation is also a key objective, as it promises to enhance the precision and effectiveness of transplant procedures.
Looking ahead, Sri Lanka should aim to further expand its laparoscopic donor nephrectomy program and increase public awareness about both living and deceased kidney donation. The country will need to enhance collaboration among hospitals to share expertise and resources. Advocating for increased government support and funding for transplantation services will be another key objective. Sri Lanka should continue investing in advanced technologies to improve surgical outcomes. Additionally, the country will need to train more surgeons in laparoscopic techniques, which will increase the availability of this minimally invasive procedure.
The story of laparoscopic donor nephrectomy at Sri Jayewardenepura General Hospital by Dr. Niroshan Seneviratne is one of hope, innovation, and dedication. It represents a significant step forward in Sri Lanka’s fight against chronic kidney disease, offering a lifeline to thousands of patients while respecting the well-being of donors. As SJGH continues to lead the way in this field, it not only transforms individual lives but also sets a new standard for kidney transplantation in Sri Lanka and beyond.
Life style
Nanda Malini Ascocenda: A flower that carries the name of a legendary voice
By Ifham Nizam
A flower named after one of Sri Lanka’s most celebrated voices has become a unique tribute to the country’s cultural heritage, with the Nanda Malini Ascocenda orchid carrying the name of veteran singer Dr. Nanda Malini.
The orchid was named in honour of Nanda Malini, recognising her outstanding contribution to Sri Lankan music and culture. She is among the country’s most acclaimed singers, with a career spanning several decades and a repertoire deeply rooted in Sri Lankan social and cultural experiences.
The striking illustration, released by the Ministry of Environment on August 21, features the veteran singer surrounded by colourful orchids and musical notes, bringing together two important elements of Sri Lankan identity — the country’s rich natural heritage and its musical tradition.
The Nanda Malini Ascocenda is particularly significant because it represents an unusual meeting point between art and nature. Orchids have long been associated with Sri Lanka’s botanical wealth, while the naming of individual hybrids after distinguished personalities provides a lasting link between the country’s natural and cultural heritage.
According to published accounts, the Nanda Malini Ascocenda was named in 2004 in recognition of the singer.
A recent profile described her as possibly the only Sri Lankan artiste to have an orchid named after her by the Orchid Circle of Sri Lanka.
Nanda Malini’s contribution to music has been recognised through numerous awards. She has also performed internationally and remains one of the most recognised figures in Sri Lankan music.
Her association with songs reflecting social realities, human emotions and national identity has given her a special place in the country’s cultural landscape.
The orchid, therefore, represents more than a botanical curiosity. It is a living tribute to an artiste whose voice has accompanied generations of Sri Lankans.
The Ministry of Environment’s presentation also serves as a reminder that conservation is not limited to forests, wildlife and ecosystems. Sri Lanka’s natural heritage is closely intertwined with its history, culture, art and the people who have enriched the nation’s identity.
As the colourful blooms of the Nanda Malini Ascocenda evoke the beauty of Sri Lanka’s orchid heritage, the name attached to them ensures that the contribution of one of the country’s most distinguished musical voices continues to live on in an entirely different form — through nature itself.
Life style
The Best of Malkoha celebrates half a century of Sri Lankan ornithological writings
By Ifham Nizam
The launch of The Best of Malkoha: Half a Century of Ornithological Writings marked a significant milestone in Sri Lanka’s birdwatching and conservation history, as the Field Ornithology Group of Sri Lanka (FOGSL) celebrated its Golden Jubilee at the Faculty of Science, University of Colombo.
The book, drawn from five decades of writings published in Malkoha, the FOGSL newsletter, brings together a rich record of observations, discoveries and experiences that helped shape modern field ornithology in Sri Lanka.
The launch formed part of FOGSL’s first-ever Founders’ Day, held on August 22, a date chosen to coincide with the 76th birthday of Vidyajothi Emeritus Professor Sarath Kotagama, one of the Organisation’s founding figures and its enduring source of inspiration.
The occasion brought together academics, conservationists, naturalists, birdwatchers, students, young birders and members of FOGSL, reflecting the broad community that the organisation has cultivated since its establishment in 1976.
Biodiversity expert Dr. Rohan Pethiyagoda, delivering the Golden Jubilee Founders’ Day Oration, used the occasion to reflect on five decades of biodiversity research and conservation in Sri Lanka, while paying tribute to Professor Kotagama and the role played by FOGSL in taking birdwatching beyond a small circle of specialists.
Pethiyagoda said the organisation’s greatest achievement had been its ability to make knowledge of birds and nature accessible to ordinary people.
He recalled how, in the early 1990s, Professor Kotagama had proposed producing an affordable field guide so that birdwatching would no longer be restricted by the high cost of existing publications.
That resulted in the publication of A Field Guide to the Birds of Sri Lanka in 1994, which Pethiyagoda published and which subsequently became a bestseller.
The collaboration later produced Sri Lanka Kurulu in Sinhala, making serious bird identification and knowledge available to an even wider audience.
Pethiyagoda recalled a particularly emotional encounter that demonstrated the lasting impact of that work.
During a recent visit to Talangama to accompany Australian birdwatchers, he encountered two boys, aged around 12 and 14, carrying a battered copy of Sri Lanka Kurulu and using it to identify birds.
“I just started crying,” Pethiyagoda said, describing the moment as evidence of how knowledge had been passed from one generation to another.
- Prof Nihal Dayawansa
- Dr. Pethiyagoda
- Prof Kotagama
- Birthday celebration
He said the achievements of the past 50 years should not be underestimated. Sri Lanka has witnessed major advances in health, education, infrastructure and conservation, while the country’s protected-area network has expanded considerably.
At the same time, however, he warned that biodiversity research and conservation continue to face serious institutional challenges.
Pethiyagoda pointed to habitat fragmentation, climate change, inadequate scientific research and restrictions on field research as major challenges facing the next generation of conservationists.
He said climate change would increasingly force species to move towards cooler, higher elevations, but fragmented habitats could prevent them from making such movements.
“Our challenge now is to connect up those little fragments so that plants and animals can migrate across these landscapes,” he said, stressing the importance of restoring ecological connectivity.
He also called for greater investment in ex-situ conservation for species facing extinction and urged the establishment of conservation facilities across Sri Lanka’s different climatic zones.
Pethiyagoda placed particular emphasis on citizen science, arguing that Sri Lanka possessed an enormous reservoir of public enthusiasm for biodiversity.
He noted that more than 20,000 Sri Lankans were now involved in citizen science through platforms such as iNaturalist, with Sri Lankan users generating significant biodiversity data.
“The appetite for science, the appetite for conservation, for exploration, for discovery is there in the people,” he said.
Pethiyagoda also paid an emotional tribute to Professor Kotagama, describing him as the constant force behind much of Sri Lanka’s modern conservation movement.
“In future generations, we will talk of conservation in this country as before Kotagama and after Kotagama,” he said.
He also acknowledged Professor Kotagama’s wife, Namali, for being the “bedrock” of his household and for supporting his decades-long contribution to conservation.
The Golden Jubilee celebrations also looked back at the origins of FOGSL.
The Organisation was founded on October 10, 1976, when four passionate bird enthusiasts—the late P. B. Karunaratne, Professor S.U.K. Ekaratne, Professor Sarath Kotagama and Rex I De Silva —came together with a shared objective of making birdwatching accessible beyond the relatively exclusive group that had traditionally dominated the field.
FOGSL was subsequently formally recognised by the University of Colombo and developed as a platform bringing together birdwatchers, researchers, students, educators and nature enthusiasts.
Its philosophy was simple: one did not need an academic qualification to become a member. Enthusiasm, careful observation, recording and sharing knowledge were enough.
That principle continues to define the Organisation.
FOGSL has since become Sri Lanka’s BirdLife International partner and has played an important role in bird research, conservation, environmental education, field studies, school programmes and citizen science.
Its work has extended from research on endemic birds and migratory species to biodiversity monitoring, conservation education and programmes aimed at children and young people.
Speaking at the event, FOGSL President Professor Nihal Dayawansa said the organisation’s founding vision remained relevant even after half a century.
The Organisation, he noted, was created not simply as a birdwatching club but as a platform through which people could study and conserve Sri Lanka’s birds while inspiring the wider public to appreciate nature.
The Founders’ Day itself was described as an opportunity to honour those who established and shaped the Organisation while celebrating the contribution of generations of members.
Professor Mayuri Wijeyasinghe, Head of the Department of Zoology and Environmental Sciences, said FOGSL had given ornithology a new meaning in Sri Lanka by taking birdwatching beyond an elite community and making it accessible to ordinary people and schoolchildren.
She noted that Sri Lanka, as a tropical island with a remarkable diversity of birds and a high level of endemism, had a special responsibility to understand and conserve its avifauna.
The Dean of the Faculty of Science, Professor I.M.K. Fernando, meanwhile, said that although his own field was physics, he recognised the common foundation shared by all branches of science—curiosity.
He congratulated FOGSL on reaching 50 years and praised its contribution to research, education, student development, wetland conservation, public awareness and science-based advice on development projects.
“The work goes far beyond publishing,” he said, noting the Organisation’s lectures, school programmes, research projects and conservation initiatives.
He also paid tribute to Professor Kotagama, describing him as a legend whose influence had extended well beyond ornithology.
Professor Kotagama, speaking after receiving tributes from colleagues and friends, said the Organisation’s foundations had been laid with a belief that people could make a difference.
He stressed the importance of taking decisions based on scientific knowledge and criticised excessive bureaucratic barriers that, in his view, prevented scientists from carrying out important field research.
Reflecting on his own period as Director of Wildlife Conservation, he said he had sought to transform the Department into a scientific institution.
“For me and for us who were working in the Mahaweli environment programme at that time, we knew that if not for science, you cannot go forward in conservation,”
Professor Kotagama said, stressing that conservation required both natural and social sciences.
He recalled the challenges faced by the Department, including inadequate staffing structures and poor career progression for wildlife officers, and said efforts had been made to introduce a more professional and scientifically grounded system.
The 50-year journey of FOGSL is closely intertwined with the development of modern field ornithology in Sri Lanka.
From the early days when birdwatching was largely confined to a small group of specialists, the Organisation helped create a culture in which students, schoolchildren, amateur birdwatchers and citizen scientists could contribute to the understanding of the country’s biodiversity.
The launch of The Best of Malkoha, therefore, served as more than the unveiling of another publication. It was a record of that transformation.
The writings collected in the volume represent five decades of observations and experiences, documenting how Sri Lankan field ornithology evolved through the work of generations of birdwatchers, researchers and conservationists.
As theOorganisation enters its next half century, the message emerging from the Golden Jubilee celebrations was clear: the future of conservation will depend not only on institutions and scientists but also on an informed and empowered public.
FOGSL’s enduring motto—”Once a member, always a member”—perhaps best captures that legacy: a lifelong connection with birds, nature, scientific observation and the responsibility to protect Sri Lanka’s extraordinary natural heritage.
Life style
Heart that beats for humanity
Dr. Rajitha de Silva
By Zanita Careem
Dr. Rajitha Y. de Silva, Consultant Cardiothoracic Surgeon and Consultant at Sri Jayewardenepura General Hospital, has built a distinguished career around one of medicine’s most demanding discipline – surgery of the heart. With his expertise, precision and pioneering spirit, he has become closely associated with the advancement of Minimally Invasive Cardiac surgery in Sri Lanka. He joined Sri Jayewardenpura General Hospital in 2013 and is today recognised as a pioneer of Minimally Invasive Cardiacs procedures in the country.
He is particulary recognised as a pioneer of mimimallyinvasive surgery in Sri lanka,with experience in procedures including minimally invasive coronary surgery and mitral valve repair. He is recognition as a leading figure in the advancement of modern cardiac surgery in the country. With years of specialised training and experience behind him, Dr de Silva has built a reputation in cardiothoracic surgery while remaining deeply conscious of the human story behind every patient who enters the operating theatre. For him, the beating heart is more than an organ to be repaired – it represents a life, a family, a future and a second chance.
His commitment to patients extends well beyond the operating theatre. Having witnessed the financial hardships faced by heart patients who desperately needed surgery but could not afford it. Dr de Silva, together with Senior Cardiologist Dr. Ruwan Ekanayake, co-founded the Heart to Heart Trust Fund.
The initiative was created with a powerful objective, that no patient should be denied life saving cardiac treatment simply because of financial difficulties.
Perhaps one of the most striking aspects of Dr de Silva’s personality is that his concern for patients does not end when the operation is over. His vision has included creating initiatives that make the difficult journey of cardiac patients more humane, giving them encouragement, dignity and hope during a period when they are often at their most vulnerable. Abayadhana was born from a simple but powerful conviction that every patient deserves a chance to live.
Through the Abayadhana programme, he represents his compassionate approach to caring for people who need not only medical attention, but also understanding, encouragement and support. What makes this initiative particularity meaningful is the personal commitment behind it. It reflects his belief that healing is not only about medicine, but about reaching out to people when they are most vulnerable.
Away from the intensity of the operating theatre, Dr. Rajitha de Silva finds another kind of joy – his passion for cricket over the years; he has taken the field in numerous matches, playing alongside and against many well known personalties.
Dr. Rajitha de Silva’s journey is guided by compassion and success anchored in humanity. From pioneering milestones in cardiac surgery to the Heart to Heart Trust Fund and the Abayadhana initiative, he has continued to give back to the people whose lives he touches. His love for cricket, his warmth and generosity reveal the heart behind the healing hands.
A surgeon by profession, a humanitarian by choice and a cricketer by heart, Dr. Rajitha’s greatest legacy may not be measured only by the operations he has performed, but by the lives he has changed, the hope he has restored and the hearts he has touched.
The trustees of the Heart to Heart Trust Fund stand united behind the mission of saving lives and giving hope. Their collective commitment helps turn the Trust’s vision into meaningful support for patients and families in need
The Executive Director, Heart to Heart Trust Fund, Shanti Fernando, plays a hands on role in turning the Trust’s vision into action, coordinating efforts, and bringing hope where it is needed.
Behind Dr. Rajitha de Silva’s demanding life is his wife, Dr. Arunie, and children, who has been his strength and support.
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