scarcity of donor hearts remains the major obstacle to the growth of transplantation. During the last decade, substantial improvements have been made in the areas of immunosuppression, treatment of rejection, and handling of sensitized recipients. Frequent causes of late mortality such as graft rejection, infection and TCAD, have been significantly diminished in the modern area of immune manipulation but remain major causes of death and barriers to long-term survival.bypass the ceremony altogether. Participants were then awarded the title of "Freemen of Highgate". 

The ceremony was a source of amusement for regular customers, who would do their best to convince newcomers to take part in the swearing in. The details of the swearing took various forms across the years and from pub to pub, but maintained the common themes of the horns and many of the individual statements. It seems clear that most participants understood it to be a tourist trap, but were happy to take part in it just the same.

Oath
While some versions are quite long—one source depicts a ceremony with six stanzas—the best-known points are:

 

The exception clauses make clear that the oath is not an oath at all; one may do as one pleases.