If you are a registered organ donor will your family have first dibs on your organs if they need them?

Yes: In some states, donors and donor families may specify who can receive cadaver organs. If you have a friend or family member who specifically needs an organ, your wishes can give them priority over those in the general waiting pool.

Possibly: If you are a registered organ donor you can direct your next of kin to your wishes regarding organ donation. However, that would assume you already have a family member with end organ disease, and that you would be a suitable donor. Those are situations that are not easy to predict in advance.