Kidney donors do not need to be related to the recipient, although they often are related. They can be friends, coworkers, members of the same religious group or other organization, or any other type of relationship. While many people are willing to be living donors, not everyone can become a living donor. Donors are carefully and thoughtfully evaluated in order to avoid unwanted medical or psychological outcomes.

While the individual circumstances of each potential donor are considered and testing must be done to determine compatibility, all potential donors must be:

• At least 18 years of age
• Genuinely willing to donate
• In good general health and reasonably physically fit

Certain medical conditions can make it likely a person will not be healthy enough to be a kidney donor (e.g. diabetes, heart disease, or history of stroke) but many other conditions may be acceptable (e.g. history of certain types of kidney stones, heart murmur, history of certain types of cancer). It is best to ask rather than assume someone cannot be a donor.

Individuals considered for living kidney donation are usually between 18 and 65 years of age. Gender and race are not factors in determining a successful match. Hypertensive donors over the age of 50 may be eligible under certain conditions.  While the risk to the donor is minimal, there is always some degree of risk associated with any surgical procedure. The procedure is done laparoscopically which helps minimize discomfort and ease recovery after the procedure. Donors undergo an education process about the operation and its risks, and are able to confidentially decide not to donate at any time.

Learn how to talk to friends and family about living donation in our video presented by Colleen Satarino, LMSW.

Once you've decided that you want to be a donor, you'll follow the steps below. 

1. Contact the Transplant Center:  Individuals who wish to be considered to donate a kidney must contact the Living Kidney Donation Program at 1-800-333-9013 to indicate their interest in donation. The Transplant Center cannot initiate contact with potential donors until they declare their interest. Potential donors will speak with a member of the living donor team who will begin the process by asking questions that include demographic information, personal and family general health history, medications and social history.
2. Blood Type Matching:  Potential living donors are tested to determine blood type.
3. Tissue Typing:  Potential donors who are medically eligible will need to have blood drawn for tissue typing. Tissue typing determines compatibility with the recipient.  If the donor and recipient are not compatible, they may be eligible for our paired donation program. The paired kidney donation program is offered to patients who have donors that do not match their blood type or who cannot accept a kidney from a donor because there is a strong chance they would reject the kidney. The patient and donor are then paired with other patients and donors to find matches.
4. Pre-Donation Evaluation:  Potential donors identified to move forward in the process will be given an appointment in the Kidney Evaluation Clinic. During this appointment the potential donor will be assessed by a nephrologist, a transplant surgeon and a social worker. In many cases, all required testing can be accomplished on the day of evaluation. We will not disclose any of your private health information to anyone (including the recipient) without your explicit approval.

Living donors are free to confidentially withdraw at any time during the donation evaluation process and are not obligated to donate.

Learn more about transplantation in the U-M Health Patient Education Library

For individuals considering becoming a living donor, and for patients who want to know more about living donation we offer:

• Living Donation Overview with Dr. Randall Sung
• The Kidney Transplant – Living Donor Education Class, a video which provides the information needed to help with the decision-making process.
• Facts and Myths of Living Donation with Ellen Deleruyelle, RN

You can begin the kidney donation process by submitting our Kidney Donor Interest Form (for Donors).

Peer Mentors

Our Peer Mentors have shared their journeys to assist you in making your decision to become a donor.  Watch their videos below.

• William and Tracy Hall
• Rose Crane and Bev Guertin