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MManipal HospitalKidney & Transplant Care

Kidney Transplant

The transplant pathway, step by step.

A transplant offers most people with end-stage kidney disease the best long-term outcome — a return to a life without dialysis. The journey is demanding, but each step is well understood and can be prepared for.

The journey in order

1

Evaluation

Complete medical work-up confirms that transplant is the right option and that you are fit for surgery. Blood type, tissue matching and overall health are assessed.

2

Donor assessment

Living donors undergo separate, rigorous evaluation — medical, psychological and legal. Deceased-donor registration follows the regional organ-sharing rules.

3

Surgery & recovery

The transplant operation typically takes a few hours. After roughly a week in hospital, recovery continues at home with close follow-up and lifelong medication.

Living vs deceased donation

In India, transplant law and the Transplantation of Human Organs and Tissues Act govern both routes. Living donation from a near relative is the more common path and is regulated very strictly — every donor case is reviewed by a hospital authorisation committee before surgery.

Deceased donation depends on organ sharing through authorised networks like NOTTO and the regional centres. Because India has far more people on dialysis than there are donor organs, living donation remains the practical route for most families.

Preparing as a family

  • Decide together: transplant decisions belong to the whole family, not one member.
  • Plan finances early: costs span surgery, donor evaluation, medicines and follow-up.
  • Have honest conversations about donation — willingness cannot be pressured.
  • Arrange a support network for the first months after discharge.
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Common questions

Who can donate a kidney?

A living donor is usually a close relative — parents, children, siblings in that order, as Indian law prioritises them. The donor must be healthy, willing, and fully evaluated. Deceased donation comes from brain-dead donors, coordinated through authorised organ networks.

How long is the wait for a deceased donor?

Deceased donor wait times vary widely by state and blood group. That is why living donation is the more common route in India when a suitable relative is willing and eligible. Your transplant team will discuss the realistic picture for your situation.

What is the recovery like?

Most patients stay in hospital for around a week after surgery. Full recovery and return to normal activity takes several weeks to a few months. Immunosuppressant medicine is lifelong, and regular follow-up visits are essential in the first year.

What does a transplant cost in India?

Costs vary widely between hospitals and cities, and are influenced by donor evaluation, medicines and post-transplant follow-up. Many arrangements in India support living-donor transplants for eligible families. Our insurance guide goes into cost and coverage in detail.