‘The Xinjiang Procedure’: Inside China’s Organ Harvesting Nightmare

Ethan Gutmann expands his investigation into the CCP’s human rights abuses.
‘The Xinjiang Procedure’: Inside China’s Organ Harvesting Nightmare
"The Xinjiang Procedure" by Ethan Gutmann verifies the horrors in Xinjiang Province. Armin Lear Press/Olli Torma
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Any reader who comes to Ethan Gutmann’s “The Xinjiang Procedure” needs to be warned that this book offers a horror scenario more intense and severe than any terror-tinged work by Stephen King. It also provides the most brilliantly researched and intensely described study of a communist regime at war against its population since Aleksandr Solzhenitsyn’s “The Gulag Archipelago.”

Unlike King’s novels, “The Xinjiang Procedure” presents a true-life horror story of imprisoned and enslaved people whose bodies are defiled for a lucrative organ-harvesting economy. In the spirit of Solzhenitsyn’s towering work, Gutmann details the vile culture of the Chinese Communist Party (CCP) in its systematic torture and murder of Falun Gong practitioners, Uyghur Muslims, Christians who worship in unsanctioned “House” churches, ethnic Kazakhs, and Tibetans in the Xinjiang province.

The actions described in this book represent a deranged and vile environment unlike anything else happening in today’s world. Gutmann first focused on this egregious human rights abuse in his 2014 book, “The Slaughter.”
Ethan Gutmann talks about his book "The Slaughter" with Jason Kenney, Canadian Minister of Employment and Social Development and Minister for Multiculturalism, on Oct. 20, 2014. (Matthew Little/The Epoch Times)
Ethan Gutmann talks about his book "The Slaughter" with Jason Kenney, Canadian Minister of Employment and Social Development and Minister for Multiculturalism, on Oct. 20, 2014. Matthew Little/The Epoch Times
For his current release, he goes deeper into the level of ongoing atrocity created by the CCP, with interviews of refugees from Xinjiang who provide witness to the suffering that still exists in their homeland.

Money Making Machine

“The Xinjiang Procedure” details how the Chinese live organ-harvesting economy began in the early 1990s. The donors are prisoners from demographic groups the CCP views as a threat. No one survives these harvesting operations, and the organ recipients can pay up to $700,000 for the transplant.

China operates a lucrative foreign organ “tourism” business, with Chinese hospitals advertising their services in English- and Arabic-language websites. At least 60,000 transplants occur annually.

The tragedy of “The Xinjiang Procedure” is realizing this gruesome activity is not a secret, nor has it been for decades. Gutmann acknowledges how Falun Gong practitioners have been documenting the CCPs actions. He also credits the Israeli Dr. Jacob Lavee for highlighting how a killing-on-demand process enables Chinese hospitals to schedule emergency transplants with a rapid wait-time of only four hours.

Ethan Gutmann (C) interviewing a Xinjiang refugee in Alamaty, Kazakhstan. (Josephine De Haan)
Ethan Gutmann (C) interviewing a Xinjiang refugee in Alamaty, Kazakhstan. Josephine De Haan

One of the many disturbing passages in “The Xinjiang Procedure” involves Gutmann’s tangling with Dr. Ko Wen-Je, a senior surgeon at National Taiwan University Hospital. Gutmann discovered that Dr. Ko, who personally had confirmation that the mainland was sourcing the majority of its transplant organs from Falun Gong, was teaching advanced live organ harvesting techniques to Chinese surgeons directly participating in the CCP-run harvesting operation.

Dr. Ko tried to discredit and sue Gutmann and aggressively denied the accusation so effectively that he was able to win an election as mayor of Taipei in 2014. Gutmann’s accusations have since been successfully defended in the Taiwanese court system.

While most of Taiwan’s media and political establishment curiously ignored or excused Dr. Ko’s involvement in the mainland’s organ harvesting, he wound up falling from grace in an unrelated scandal in 2024 when he was indicted for corruption in a real estate deal. Indeed, karma sometimes works in weird ways.

Witnesses to Madness

To provide updated information for “The Xinjiang Procedure,” Gutmann sought direct input from those who witnessed these atrocities. But with direct access to Xinjiang blocked by the CCP, Gutmann was forced to find an alternative source of information. He located escapees from Xinjiang amid the ethnic Kazakhs ,who were fortunate to escape from China into neighboring Kazakhstan.

Gutmann goes into great depth to recall his journey to Kazakhstan and his efforts to locate interview subjects for this book. This becomes a road trip adventure tale, with bizarre encounters and a bafflement in navigating the Kazakh landscape and culture. If the book has a flaw, it would be this section. It dribbles on for too long and distracts from his investigation.

Once settled in Kazakhstan, Gutmann documents the accounts of Xinjiang refugees. They go into harrowing depth on the humiliations and abuses inflicted by the Chinese prison system as well as the medical professionals brought in to handle the organ harvesting.

Life in Xinjiang, according to the refugees, had degenerated into a totalitarian hell. A Chinese-born Kazakh refugee named Tursynbek Qabi observes, “Every 700 meters, there is a police station with five cars. Xinjiang had become a perfect police state.” Other interview subjects discuss the violence forced upon them, ranging from rape (of both women and men in prison) to the crude disposals of the harvesting victims’ bodies.

Gutmann also interviews Uyghur refugees from Xinjiang in Tajikistan and Turkey, and their painful experiences add further depth to the investigation.

The author verifies eye witness accounts of the CCP's horrifying organ harvesting crimes in Xinjiang Province.
The author verifies eye witness accounts of the CCP's horrifying organ harvesting crimes in Xinjiang Province.

The Atrocities Continue

Gutmann concludes this extraordinary work by declaring, “There can be no Hollywood ending with such a grim investigation. But it’s been the privilege of a lifetime to work with such brave individuals.”

The facts and testimonies Gutmann gathers are heartbreaking and disturbing. It is impossible to walk away from “The Xinjiang Procedure” imagining that the CCP deserves a place among the civilized governments of the world.

Equally confusing is why there are no protests, either at street-demonstration level or in the corridors of power, against this well-documented terror. Mercifully, Gutmann is keeping the spotlight on China for its miserable practices.

“The Xinjiang Procedure” should be required reading for anyone with a conscience and a passion for human rights.

The Xinjiang Procedure By Ethan Gutmann Armin Lear Press: March 2, 2026 Paperback, 446 pages
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Phil Hall
Phil Hall
Author
Phil Hall is the author of 11 books, the host of the syndicated radio talk show “Nutmeg Chatter,” the editor of Weekly Real Estate News, the co-editor of Cinema Crazed, and a writer whose work has appeared in the New York Times, New York Daily News, Hartford Courant, Wired, The Hill, Jerusalem Post, Cowboys & Indians, Film Threat, and Wrestling Inc.