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Having an organ donor card is not enough to ensure that the will of the defunct is respected, since medical professionals are reluctant to go against the wishes of relatives. It is therefore important that cardholders inform their relatives of their willingness to be an organ donor (OD) to save more patients waiting for transplants. Based on empowerment theory, this study aims to highlight the role of competency, self-confidence, and power of persuasion in the choice of donors to communicate (rather than not communicate) their decision to their family, as well as the impact of such a conversation on the confidence they have that their intention will be respected. Our results also demonstrate that the taboo surrounding death prevents this discussion. Thus a “foot-in-the-door procedure” using blood donation as a preparatory act is proposed alongside the introduction of a new donor card to initiate discussion with relatives about OD decision. Other propositions are also made to reduce the number of people who are influenced by the taboo about death. Finally, a number of managerial implications for communication are developed.