Summary: In this paper we propose a prototype model for the problem of managing waiting lists for organ transplantations. Our model captures the double-queue nature of the problem: there is a queue of patients, but also a queue of organs. Both may suffer from “impatience”: the health of a patient may deteriorate, and organs cannot be preserved longer than a certain amount of time. Using advanced tools from queueing theory, we derive explicit results for key performance criteria: the rate of unsatisfied demands and of organ outdatings, the steady-state distribution of the number of organs on the shelf, the waiting time of a patient, and the long-run fraction of time during which the shelf is empty of organs.