I’ve heard Ajahn Brahm say that the happiness caused by this stupendous act of generosity (I mean, it is really - because we’re just so deeply attached to our bodies), would outweigh any kind of awareness that might be present during the process of organs being removed. I can’t remember his exact words, but what I got from it was that the merit (i.e. the happiness/good kamma) would act like a sort of powerful anaesthetic. Though I suppose this would depend on our ability to focus on positivity and whether we’d created a powerful enough habit to focus on things that create wholesome happiness. But then again, perhaps some acts/kammas are so powerful (in terms of the various aspects of Right Intention for instance) that they will naturally give rise to powerfully happy, wholesome mind states.
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