I read a book years ago 1980's or 90's possibly but the book may have been older where the ultra rich were able to buy or exchange the body parts of other people to enhance themselves. Not necessarily or just organs but muscular arms if theirs were week or flabby, stronger legs, etc. there is more to the story that is the only key component that I can remember.
One of the key components was that society in general could change parts, not just organs, with other citizens. It was something the rich could afford and that usually the poor ended up being the donors. It worked like an exchange, your week arms for some mill workers strong ones, etc.