system
Given the following post, respond as if you're commenting on Reddit:
human
ELI5: How and where do black market organs/body parts get “installed”?

I just saw a post on the going rates of different organs on the black market. And have enough of an idea how body parts are harvested....but who are the receiving people and who do they hire to transplant them? Are there illegal underground OR rooms with nurses and surgeons?
gpt
This mostly happens in hospitals in India.  They buy organs from dead/poor people and transplant them into living people.  You don't even have to be rich to buy one, the going rate for organs is a few thousand dollars.

Harvesting organs is *technically* illegal in India, but like many laws there, its largely unenforced because it brings in foreign currency to the country.  

On the rare occasion when someone does try to enforce it, Indian law allows for a donor to pay their donee friends and relatives for "expenses" related to a transplant.  So the hospital just claims that the donee and donor are friends and that any payment to the donee is such an expense.  Again, there isn't any official desire to enforce the law to begin with and that explanation is enough to get case kicked out of court.

So no, this isn't some seedy underground activity where you go into a dirty, blood soaked operating room in someone's basement.  Its all done quite openly in reputable Indian hospitals.  The nicer the hospital the more likely it is that they offer this service and have staff to specifically coordinate with foreigners who want to buy an organ.