There's been a 'worrying decline' in living kidney donation in this region, according to the NHS Blood and Transplant service.
In the East, there were only 71 organs donated from living people last year - thats compared to 90 in 2013.
There are currently more than 330 people waiting for a kidney here in the region.
In the last five years, 103 people in the East died waiting for a kidney transplant.
The figures have been released to mark World Kidney Day.
The decline in living kidney donation is especially concerning for the black and Asian patient communities.
NHS Blood and Transplant said organs are matched by blood group and tissue type and people from the same ethnic background are more likely to be a match.
- More details on how to join the NHS Donor Register