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| Phases | Brief description | Subphases | Description |
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| Phase 1 | Gathering evidence | 1 (a) public opinion study | 78.7% of the public were willing to donate and 59.7% trusted a local program |
| 1 (b) quality of life study | Better physical health, psychological, social relationship, and environment scores in transplant patients |
| 1 (c) graft survival study | 5 years and 10 years graft survival of 93.1% and 90.1% were better than most countries |
| 1 (d) cost-effectiveness study | The transplant was cheaper than dialysis. Transplant in Brunei is cheaper than sending patients abroad |
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| Phase 2 | Assembly of the core team, compiling transplant dossier and forging foreign affiliations | 2 (a) assembling core team | Core team comprising local nephrologists, surgeons, transplant coordinators, and nurses |
| 2 (b) drafting of National Transplant Act | Focus on prohibition and penalization of organ trafficking and commercialization |
| 2 (c) issuance of religious decree (fatwa) | The decree legitimizes the act of donation and receiving transplant under Muslim laws |
| 2 (d) constitutions of national transplant-related committees | The National Transplant Committee (NATCOM) and Transplant Ethics Committee (NTEC) deal with policy, ethical, and governance issues that arise with transplant |
| 2 (e) formulation of national transplant policy | The policy gives guidance on how to uphold the standards of transplant in the country |
| 2 (f) forging of foreign affiliations | The signing of the memorandum of understanding with Prince Court Medical Center, Malaysia |
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| Phase 3 | Experiential exposure and strengthening the local foundation | 3 (a) enhancing experiential experience | Hands-on training for key staff in Prince Court Medical Center |
| 3 (b) strengthening hospital facilities | Improvement of the ward, operating theatre, and laboratory facilities |
| 3 (c) bespoke training for allied healthcare professionals | Special training through workshops and seminars conducted for all associated healthcare professionals by local and foreign experts |
| 3 (d) introduction of transplant subsidiary services | Numerous new laboratory, radiological, and pharmacological introductions to the services. Partnership with foreign institutions for superspecialized services like crossmatch and viral assays |
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| Phase 4 | Implementation and consolidation | 4 (a) implementing program | The main goal is to implement a program that is equitable, safe, sustainable, and morally sound |
| 4 (b) dynamic auditing and reviewing of services | Constant reviewing of the services led to the introduction of new services to modernize services and eradicate errors |
| 4 (c) maintaining self-sufficiency and governance through research | Many review articles and research have been published on transplant topics by the core team during this phase |
| 4 (d) public awareness campaigns | Regular seminars and workshops to garner and maintain public interest |
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