Ethical considerations arise from altruistic kidney donations like Dawn's due to various factors such as informed consent, medical risks, and equitable distribution of organs. In the case of nondirected donations, ensuring that donors fully understand the implications and potential risks involved in the procedure is crucial for upholding ethical standards. Additionally, there may be concerns about whether these types of donations could inadvertently perpetuate inequalities in access to healthcare if certain groups have more opportunities for receiving organs through chains than others. It is essential to address these ethical considerations through transparent communication with donors, thorough medical evaluations, and fair allocation practices within the healthcare system.