Organ donation, a life-enhancing or life-saving gift, is only possible due to donors. Living donors intentionally document their decision to participate. However, deceased or dying individuals may not have done so during their lifetime, in which case loved ones can choose organ donation on their behalf. Research finds that living organ donation is possible through sacrifice. In our ethnographic study, we examine organ donation in the context of family members agreeing to their dying loved one’s participation where those donors are deemed to already have sacrificed through death. We investigate the impact of the experiences of death and deceased organ donation through bereaved family members. We find that organ donation does not change the sense of loss; rather, it transforms the meaning of death from that which is perceived as bad to what may be considered good. We reveal how this transformation results as both the bereaved and deceased invest sacrifice, with the family negotiating roles as relationship partner with and steward for the deceased. We then describe the influence of such roles on meanings associated with death. Finally, we present opportunities for future research stemming from these findings.