Why living kidney donation matters

Living kidney donation is when a person donates one of their two kidneys to someone with kidney failure. This is not the same as a deceased donation, where someone in need of a new kidney receives one from someone who has died. In the United States, more than 90,000 people are currently waiting for a kidney transplant, and about 28,000 kidney transplants were performed in 2024. Of those, approximately more than 7,000 donated kidneys came from living donors.

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Types of living kidney donation

There are several types of living kidney donation, and each type varies based on the connection between the donor and recipient, as well as how well they match.

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Who can be a living kidney donor?

Living kidney donors must meet specific health and compatibility requirements to help make the process as safe and effective as possible.

General qualifications

To be considered for living kidney donation, you must meet several requirements:

  • Be at least age 18
  • Be in good physical health with two healthy kidneys
  • Have a healthy weight
  • Have a strong support system in place for your recovery period
  • Maintain mental and emotional wellness

The living donation process

Living donation is a journey, and many steps are involved, from an initial screening to final approval, surgery and recovery. Your transplant team will guide you at every step to explain what to expect, answer your questions and make the process as seamless as possible.

Step 1: Initial screening

Your first step is an initial screening. You’ll complete a confidential health history questionnaire to determine your overall health status and candidacy to donate. A living donor coordinator will review your information and contact you if you are a possible candidate.

You’ll fill out a questionnaire based on the specific location where the kidney recipient is being treated:

What if I’m not a match?

If you are not a direct match with the person you intended to donate to, you can consider a paired kidney donation or a donation chain. A local donor from our center will be considered first to expedite the process.

You can also talk to your team about becoming a non-directed kidney donor and donating your kidney to someone you do not know.

Talk with a transplant coordinator

Benefits and Risks of living donation

Living kidney donation offers numerous benefits for you and the recipient, but as with any major surgery, it also has potential risks.

Costs and financial considerations

The recipient’s health insurance covers medical costs related to living kidney donation, but you may be responsible for some out-of-pocket expenses. These can include travel and lodging costs and any lost wages due to time off work.

Federal programs, like the National Living Donor Assistance Center (NLDAC), along with support options from transplant centers, are available to help ease these financial burdens. NLDAC offers reimbursement for travel and living expenses needed for the evaluation process or donation itself. Eligibility for this assistance is generally based on income and citizenship requirements. Additionally, NLDAC and other programs may help reimburse you for travel, lodging and lost income while you’re recovering from surgery.

Financial coordinators and social workers can discuss your unique circumstances and help connect you to available programs and resources.

Support and resources for donors

As a donor, you have access to a variety of support services and resources to help you make the best decision for yourself, regardless of whether you ultimately donate.

Your living donor advocate has extensive knowledge about the donation process and can help make sure you know about and can access the resources you need, including counseling and mental health care if needed. Peer mentor programs, like the one operated by the National Kidney Foundation, allow you to talk with other living donors and recipients who have been through the process.

There are numerous national organizations that provide information and support for living donors:

To learn more about the process for living kidney donor recipients and donors, download our pathway to kidney transplant guide.

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Patient story: A living donation journey

Katie and Chris Morrow share their story on becoming non-directed kidney donors to strangers
Jose Suarez who received the 10,000th organ transplant at Baylor University Medical Center poses sm
Kenny and Ja'Neice DeCay pose for a photo together prior to their transplant surgery

Ready to take the next step? Contact our transplant team.

If you’re interested in learning more about living kidney donation, our transplant team is here to help guide you through the next steps. Filling out this form does not commit you to donation. It simply lets us know you're interested and allows us to connect with you securely.

Frequently asked questions