Kikuchi, 62, is suspected of recommending to relatives of a man in his 40s living in Tokyo that the man should undergo a transplant overseas without government permission. After asking the relatives to pay ¥33 million ($251,000) into the NPO’s bank account for travel and transplant costs, he then arranged for the man to undergo a liver transplant from a deceased donor at a hospital in Belarus around Feb. 10, 2022, according to the sources.