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Kidney or Renal transplant is carried out for patients with advanced kidney failure, i.e., when the kidney function is irreversibly reduced to below 15%. Usually this is done when patient is started on dialysis, but rarely it is done even before starting dialysis when patient is expected to require dialysis in near future. During a kidney transplant, a donor’s kidney is placed is placed into the body of a recipient. The damaged kidneys of the patient are usually kept except some special diseases. Kidney transplants are usually performed with Blood group matched donors. But with some special treatment protocols even non blood group matched (ABO incompatible) donors can donate their kidneys to a recipient. Kidney transplant is broadly done under 2 categories Live kidney transplant: the donor is alive and a near relative of the recipient. Cadaveric/Deceased donor transplant: kidney or other organs are taken from a patient who is “Brain Dead” and has anyways a poor chance of survival without life support systems(ventilators).