CEoT 2020 will be an exciting exploration of the hot topic of organ allocation and how the transplant community should consider the balance of equity and utility. We will set the stage by looking at the ethics of allocating a scarce resource and the history as well as the current state of organ allocation. The program will delve into potential alternatives for the OPTN structure. Equity and utility will be discussed for each organ specifically with specialized tracks, as well as multi-organ transplantation. The overarching goal is to systematically address the issues of organ allocation in order to reframe the discussion and improve the transplant community’s ability to move forward toward the future.