 This retrospective study compared the outcomes of 44 ABO incompatible, ABOI, live kidney transplant patients with 44 matched ABO compatible, ABOC, live kidney transplant patients. The ABOI group had higher rates of post-transplant bleeding, which required more blood transfusions than the ABOC group. Additionally, the ABOI group had lower levels of fibrinogen, platelets, prothrombin time, and hemoglobin before surgery, suggesting that their bleeding tendency may have been due to impaired hemostasis. Despite this, the overall survival rate, patient survival rate, and graft survival rate were similar between the two groups. This article was authored by Hamza Nasseray Binani, Zair Abdul Rahman, Asma Alaw, and others.