 10 stage renal failure disease patients have got options of either going through hemodialysis. There is also another way of dialysis is chronic ambulatory peritoneal dialysis what is called CAPD. The other options for chronic kidney disease patients is kidney transplantation. Kidney transplantation could be either live transplant or cadaver transplant. There are many advantages of a chronic kidney disease patient going through transplant. Number one he can lead a normal life like any other individual. In kidney transplantation removal of one normal healthy kidney is done either laparoscopically or by open operation. Laparoscopic removal of the kidney is what is called minimally invasive donor nephrectomy. This patient had advanced kidney failure and his only option for survival was a kidney transplantation. However, he did not have a donor in the family with a compatible blood group. So he was struggling to get his health sorted out. Today we have done a kind of transplant namely the swab transplant. In this kind of situation where there are two donors and two recipients they swap between the patients. Fortunately we found another family wherein the donor and recipient had a similar problem where their blood groups would not match and they too were stuck. So in this situation what happens is if the recipient from one family is compatible with the donor from another family then we can cross the donor and recipient and both the families can get benefited. In today's swab transplant she is one of the donor wherein we have removed the kidney laparoscopically four holes were made and the entire kidney is mobilized and kidney artery, kidney vein and the ureter were clipped and removed. However, to bring out the kidney from the abdomen we made a small incision at the lower part of the abdomen and removed the kidney. This way it is very less painful for the patient post-operatively and within a week they'll be able to get back to their normal work. The renal transplant is over. This is the right kidney which has been kept in the right iliac fossa. The renal vein has been anastomosed to the external iliac vein. The end of the renal vein has been anastomosed to the side of the external iliac vein and this renal artery has been anastomosed to the internal iliac artery. The end of the renal artery has been anastomosed to the end of the renal artery and the ureter which comes the urine which flows down from the kidneys has been anastomosed to the bladder and from there the the urine flows down into the catheter and a drain has been left and the wound will be closed in two layers. On the fifth day we take out the catheter and the drain and on the sixth day we do our dressings and on the seventh day we disturb the patient home and after the tenth day he can get back to his normal activities. Now these kind of complex cases for kidney transplant where we have to do two together require quite a bit of extra infrastructure, more OT space and a very experienced team. All of which is available at our center kidney transplant center at Manipal hospital and we have been doing such complicated cases for many years now and with more and more of complex cases being done we are able to provide kidney transplant services to almost all kinds of complicated situations and this can be done very smoothly and efficiently with the most advanced techniques that are available which provide minimal access services to the benefit the kidney donor as well as the kidney recipient. A very well performed transplant instantaneously the recipient starts putting urine and his creatinine normally comes to normal in the next 48 hours time. In an ideal situation we would strongly recommend patients to go through kidney transplantation for a chronic kidney disease patients.