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Kidney transplant

A healthy kidney from a living or deceased donor is placed into your body during an operation.

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What a kidney transplant means

A kidney transplant involves placing a healthy kidney from a donor into your body to take over the work of your failing kidneys. The transplanted kidney filters your blood, removes waste and excess fluid, and helps maintain your body’s normal functions.

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A transplant is only possible after a detailed assessment. A suitable donor kidney is needed, either from a living or deceased donor, and waiting times can vary.

TreatmentAn operation
BeforehandTransplant assessment
AfterwardsDaily medicines and follow-up
Where the kidney may come from

Living and deceased donors

A donated kidney may come from a living person or from a person who has died. The transplant team carefully assesses the donor kidney and the person receiving it.

Kidney from a living person

Living donor transplant

A healthy adult may freely offer to donate one kidney. The donor is assessed separately to protect their health.

  • Both the donor and recipient have detailed tests.
  • If both are approved, the operations can be planned.
  • The donor and recipient both receive follow-up care.
Kidney donated after death

Deceased donor transplant

A kidney may be donated after a person has died, with consent and according to the transplant programme.

  • The recipient completes a transplant assessment.
  • A suitable kidney is matched when one becomes available.
  • Waiting time is uncertain; the team contacts you if a kidney is offered.
The process

How transplantation works

The exact pathway differs for each person, but it usually has four parts.

01

Assessment

The transplant team checks whether surgery and long-term treatment are suitable for you.

02

Donor and matching

A living donor may be assessed, or you may be considered for a kidney from a deceased donor.

03

The operation

The donated kidney is placed in the lower abdomen and connected to your blood vessels and bladder.

04

Ongoing care

Regular blood tests and anti-rejection medicines help the team care for the transplanted kidney.

Before treatment

Preparation may include

  • Blood tests, scans, heart or lung tests when needed, and screening for infection
  • A review of your medicines, other health conditions, and previous operations
  • Discussion about living and deceased donor pathways available to you
  • Time to understand the operation, recovery, medicines, and follow-up
Everyday care

Daily life may include

  • Anti-rejection medicines must be taken every day for as long as the transplant is working
  • Blood tests and clinic reviews are frequent at first and continue long term
  • Because the medicines lower immunity, infections and other side effects must be watched for
  • Food, activity, work, and travel advice is adjusted to your recovery and health

Questions patients often ask

Open a question for a short answer, or continue to the complete question guide.

The kidney care team reviews your overall health, other medical conditions, medicines, infections, and ability to manage surgery and long-term anti-rejection treatment. Tests are arranged before a decision is made.

A healthy adult may freely offer to be assessed as a living donor. The donor is assessed separately and confidentially to protect their health. Offering to be assessed does not guarantee that donation will be possible.

Waiting time cannot be predicted. It depends on donor availability, blood group, matching, allocation criteria, and the local transplant programme. The kidney care team will explain how the waiting process works.

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Your counselling session

Bring your family members.

They can hear the same explanation, remember important details, and understand the plan with you.

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