During Kidney Transplant Is Old Kidney Removed
Is the old kidney removed during a kidney transplant? Learn why native kidneys are usually left in place, where the new donor kidney is placed, and when removal might be necessary.
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Last updated on 13th Jan, 2026
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Introduction
If you or a loved one is preparing for a kidney transplant, you may wonder what happens to the old, damaged kidney. Does it stay in the body, or is it removed during the transplant? This is a common question, and the answer depends on various factors.
In this article, we’ll explain:
Whether the old kidney is removed during a transplant?
Why do doctors may or may not remove it?
What to expect before, during, and after surgery?
How to care for yourself posttransplant/
Is the Old Kidney Removed During a Transplant?
In most cases, the old kidney is not removed during a kidney transplant. The new, healthy kidney is placed in a different location—usually in the lower abdomen—while the original kidneys remain in place.
Why Are Old Kidneys Usually Left in Place?
Old kidneys usually left in place are due to:
No Immediate Harm – Even if the kidneys are not functioning well, they rarely cause harm by staying in the body.
Surgical Risks – Removing the old kidneys requires an additional surgery, which can increase complications like bleeding or infection.
Natural Shrinkage – Over time, nonfunctioning kidneys often shrink and do not cause problems.
When Might a Doctor Remove the Old Kidney?
In some rare cases, surgeons may remove one or both original kidneys if:
Severe infections (like chronic pyelonephritis) are present.
Uncontrolled high blood pressure is caused by the kidneys.
Large kidney cysts (in polycystic kidney disease) cause pain or complications.
Cancer or tumors are present in the kidneys
If removal is necessary, it is usually done before the transplant surgery to reduce risks.
What Happens During a Kidney Transplant?
A kidney transplant involves placing a healthy donor kidney into your body. Here’s what happens:
1. Before the Surgery
You’ll undergo tests to ensure you’re fit for surgery.
You’ll be placed on immunosuppressants to prevent organ rejection.
2. During the Surgery
The surgeon makes a small incision in your lower abdomen.
The new kidney is placed and connected to your blood vessels and bladder.
Your original kidneys are usually left untouched unless there’s a medical reason to remove them.
The surgery takes about 3-4 hours.
3. After the Surgery
You’ll stay in the hospital for about a week for recovery.
You’ll take medications to prevent rejection and infections.
Regular followups will ensure the new kidney is working well.
Consult Top Specialists for Personalised Tips
Life After a Kidney Transplant
A successful transplant can greatly improve your quality of life. Here’s how to stay healthy:
1. Take Medications as Prescribed
Immunosuppressants are crucial to prevent rejection.
Never skip doses or stop without consulting your doctor.
2. Follow a KidneyFriendly Diet
Eat low-sodium foods.
Limit processed foods and sugars.
Stay hydrated (as advised by your doctor).
3. Exercise Regularly
Light activities like walking help recovery.
Avoid heavy lifting for a few months.
4. Monitor for Complications
Watch for fever, swelling, pain, or changes in urine output.
Report any unusual symptoms to your doctor immediately.
When to Consult a Doctor?
If you’re considering a kidney transplant or have concerns about your kidney health, consult a nephrologist. Apollo 24|7 offers expert consultations and transplant services. You can book an appointment easily online.
Final Thoughts
Most kidney transplants do not require removing the old kidneys. The new kidney is placed in a different location, allowing the body to function normally. However, in rare cases, removal may be necessary for medical reasons. If you have more questions or need guidance, don’t hesitate to reach out to a healthcare provider. A kidney transplant can be lifechanging, and understanding the process helps you prepare better. Would you like to schedule a consultation with a kidney specialist? Visit Apollo 24|7 today for expert advice and care!
Consult Top Nephrologist
Consult Top Specialists for Personalised Tips
Dr. Manju Kamal
Nephrologist
12 Years • MBBS,MD(General Medicine), DNB,DM(Nephrology)
Angamaly
Apollo Hospitals Karukutty, Angamaly
Dr Vinay Kumar A V
Nephrologist
8 Years • MBBS, MD - General Medicine, DM - Nephrology
Bilaspur
Apollo Hospitals Seepat Road, Bilaspur
Dr. Pardha Saradhi
Nephrologist
9 Years • MBBS, MD-DNB (Gen. Med.), DNB (Nephro)
Hyderabad
Apollo Hospitals D R D O kanchanbagh, Hyderabad
(75+ Patients)
Dr. Rajesh Pk
Nephrologist
15 Years • MBBS, MD, MRCP (UK), DM
Kannur
Apollo Clinic Kannur, Kannur
Dr Ch Sashidhar
Nephrologist
20 Years • MBBS, MD General Medicine, DNB, Nephrology
Secunderabad
Apollo Hospitals Secunderabad, Secunderabad
Consult Top Nephrologist
Dr. Manju Kamal
Nephrologist
12 Years • MBBS,MD(General Medicine), DNB,DM(Nephrology)
Angamaly
Apollo Hospitals Karukutty, Angamaly
Dr Vinay Kumar A V
Nephrologist
8 Years • MBBS, MD - General Medicine, DM - Nephrology
Bilaspur
Apollo Hospitals Seepat Road, Bilaspur
Dr. Pardha Saradhi
Nephrologist
9 Years • MBBS, MD-DNB (Gen. Med.), DNB (Nephro)
Hyderabad
Apollo Hospitals D R D O kanchanbagh, Hyderabad
(75+ Patients)
Dr. Rajesh Pk
Nephrologist
15 Years • MBBS, MD, MRCP (UK), DM
Kannur
Apollo Clinic Kannur, Kannur
Dr Ch Sashidhar
Nephrologist
20 Years • MBBS, MD General Medicine, DNB, Nephrology
Secunderabad
Apollo Hospitals Secunderabad, Secunderabad
