Kidney transplant - When should it be performed  

When should it be performed  

Ideally, a kidney transplant should be performed when testing shows the extent of damage to your kidney is so great you will require dialysis within six months due to kidney failure.

However, due to the lack of available kidneys, it is highly unlikely you will receive a kidney donation at this time, unless a family member or friend who has a similar tissue type to you is willing to make a living donation.

Most people with kidney failure need dialysis while they wait for a donated kidney to become available. Usually, only one transplant in 10 is performed on people not on dialysis.

The average time that a person spends on the waiting list for a kidney transplant is two years.

Those with rarer blood groups tend to wait longer than people with more common blood groups.

Waiting for a transplant

The transplant centre will need to contact you at short notice, so you must inform staff if there are any changes to your personal contact details.

You should also inform staff if there are changes to your health, for example, if you develop an infection.

While waiting for a donated kidney to become available, it is important you stay as healthy as possible by doing the following:

Prepare an overnight bag and make arrangements with friends, family and work so you can go to the transplant centre as soon as a donor becomes available.


Last reviewed: 03/04/2012

Next review due: 30/04/2014

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Comments are personal views. Any information they give has not been checked and may not be accurate.

IMag said on 20 January 2011

Surely - A and O are more common blood groups and AB and B are actually the rarer ones?

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How are donations allocated

Demand for donations from recently deceased people far outstrips supply so there are strict but necessary guidelines about how donations are allocated.

Children are given priority if a matched donation becomes available as they will most likely gain a long-term benefit from donation.

For adults a scoring system is used to determine who should get a donation. The score is calculated using the following:

  • how long a person has been on the waiting list – the longer you have been waiting the higher your score
  • whether there is a good match in terms of tissue type, blood group and age
  • how close geographically a person is to the donor – the less time it takes to transport the donated kidney the more likely the transplant will be a success

For more information, see the NHS Organ Donor Register website or contact them on 0300 123 23 23