Discussions on bioethical issues within the Saudi society are a relatively new development. However, they have taken increasing importance over the last two decades. This accompanied the massive advances in medical care, the beginning of medical and biological research, the establishment of pharmaceutical companies and the exposure of society to international norms. By and large the driving forces of the need for bioethical discourses are the practical needs arising from these recent developments in our region rather than that being due to theoretical or academic investigation. In this article, we discuss issues related to the interaction between society and medical ethics in Saudi Arabia with particular reference to organ transplantation ethics.