What is it?


A living donor transplant is when someone with 2 healthy kidneys and otherwise meeting criteria to be a kidney donor, donates 1 of their kidneys to someone with severe kidney disease or on dialysis.

Who can be a kidney donor?


Anyone in good physical and mental health with 2 healthy kidneys can be a kidney donor. Donors do not have to be biologically related.

Why consider it?

A living donor kidney transplant works better and lasts much longer with an average of 15-20 years as opposed to a kidney from a deceased donor from the list which lasts on an average 10 years

What does living donor testing look like?

Potential living donors undergo an initial evaluation, which includes:

Education of the process by a living donor nurse coordinator

Blood and tissue typing to assess compatibility.

Blood and urine tests, CT scan, and cancer screening as appropriate

Meeting with the kidney donor team to include the following:

  • Living Donor Coordinator – A nurse who educates living donors about what to expect and coordinates all components of their care before, during, and after transplant.
  • Independent Living Donor Advocate (ILDA) – A representative that advocates for the living donors to ensure they understand all aspects of the donation process.
  • Social Worker – A licensed social worker who performs a psychosocial evaluation, ensures living donors understand the emotional implications of donating a kidney and assesses the donor’s support system.
  • Registered Dietitian –provides education about healthy diet options.
  • Donor Nephrologist – a medical doctor who is an expert in kidney care, reviews medical information prior to donation, and ensures that the donor can undergo the procedure safely.
  • Donor Surgeon – a specialist who performs the surgery to remove the kidney that is to be donated usually through a minimally invasive approach that results in less pain and faster recovery with smaller incisions.

What is Paired Kidney Donation?

In cases where donor and recipient pairs are incompatible, an exchange with two or more pairs can be performed so that each candidate is able to receive a compatible living donor kidney transplant.

What is an ABO Incompatible Transplant?

In some cases, there is a possibility that a donor can donate to someone with a different blood type.

What is the cost of donation?

All costs related to donation including evaluation, testing and surgery are covered by the recipient’s insurance.

Jobs are protected for kidney donors under the Family and Medical Leave Act (FMLA).

There are other resources such as through National Living Donor Assistance Center (NLDAC) that may provide help with lost wages, travel expenses and child and elderly care needs.

Please visit the American Society of Transplantation's cost estimate calculator at AST-16-Financial-Toolkit-Section-1-Cost-Estimation-Worksheet.pdf (myast.org)

What are the risks?

Most studies suggest that kidney donors live a normal and healthy life after kidney donation.

No medications are required and after full recovery, there are no restrictions on physical activity.

There is a small risk of higher blood pressure after several years in patients at risk for developing it. The risk of kidney failure in donors is smaller than the general population. The very small number of donors who do develop kidney failure because of genetic and other reasons, get a priority on the kidney transplant list.

Please visit Living Donor Toolkit | for more detailed information on the American Society of Transplantation's information on living kidney donation.

En espanol


Please visit the following for more information:

Informate HRSA - Inform Yourself About Living Kidney Donation for Hispanics and Latinos DONE ÓRGANOS | National Kidney Foundation

For more information, please visit: https://unos.org/transplant/living-donation/