Second Opinion for Kidney Transplant

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You have been told a kidney transplant is not possible, that your donor does not match, or that you do not qualify. Before you accept that answer, get a second opinion for kidney transplant. Incompatibility is not always the final word. At PSRI, patients who were told transplant was impossible have received one through ABO incompatible kidney transplant protocols and swap kidney transplant programmes.


Submit your reports to PSRI Hospital and receive a specialist review from our senior transplant team within 48 hours in most cases. PSRI has performed thousands of successful kidney transplants since 2004. A free second opinion is available. Share what you have and our team tells you exactly what options exist for your case.

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When Should You Seek A Second Opinion For Kidney Transplant?


You have been advised a kidney transplant or told you do not qualify, but are not clear on the evaluation, donor options, or whether all routes have been explored.

  • Transplant not possible
  • Donor blood group mismatch
  • No matching donor found
  • Transplant eligibility unclear
  • Waitlist status unexplained
  • Evaluation feels incomplete
  • ABO mismatch not addressed
  • Swap option not discussed
  • Second hospital differs
  • Transplant delayed repeatedly
  • Post-transplant complications
  • Rejection episode recurring

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  • 🇮🇳 India
  • Other Countries


What Will A Second Opinion For Kidney Transplant Clarify?


A specialist review answers the questions your current transplant evaluation has left unresolved.

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  • Whether you qualify for a kidney transplant and what is actually standing in the way.
  • Whether ABO incompatible kidney transplant can overcome your donor's blood group mismatch.
  • Whether a swap kidney transplant gives you a compatible donor when a direct match is not available.
  • What your kidney function, dialysis status, and fitness profile mean for surgical eligibility right now.
  • Whether complications after transplant are being managed correctly or need a different approach.

What Does The Review Cover At PSRI?


The second opinion for kidney transplant at PSRI examines your complete transplant profile, not one incompatibility report. The review covers:

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  • Serum creatinine, eGFR, and dialysis adequacy to assess kidney failure severity and transplant urgency.
  • Blood group and HLA tissue matching between you and your potential donor.
  • Whether ABO incompatible kidney transplant desensitisation protocol applies to your donor-recipient profile.
  • Whether swap kidney transplant through PSRI's dedicated Swap Transplant Registry is a viable route.
  • Your overall surgical fitness including comorbidities, infection screening, and pre-transplant preparation needs.
  • For post-transplant patients: immunosuppression adequacy, rejection markers, biopsy findings, and graft function.

Who Reviews Your Case At PSRI Hospital?


Kidney transplant second opinions at PSRI are reviewed by a senior nephrology and urology transplant team with hands-on experience across matched transplants, ABO incompatible kidney transplants, and swap kidney transplants. PSRI has performed thousands of successful live-related kidney transplants since 2004, operates a dedicated Swap Transplant Registry, a 24x7 dialysis unit, and 3.0 Tesla MRI for advanced renal imaging. Cases reviewed include:

  • Patients told their donor is incompatible who want to know if ABO incompatible or swap transplant is possible.
  • Patients on long-term dialysis who want confirmation that every transplant route has been properly assessed.
  • Recipients with failed first transplants who are evaluating options for a second transplant.
  • Post-transplant patients with rejection, reduced graft function, or unexplained complications.
  • Patients whose transplant has been repeatedly delayed without a clear clinical reason.
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What Options May Come Out Of A Kidney Transplant Second Opinion?


The outcome depends on your specific donor situation, kidney profile, and what has not yet been explored.

  • ABO Incompatible Kidney Transplant: If your donor has a different blood group, PSRI's ABO incompatible kidney transplant programme uses a desensitisation protocol to make transplant possible. This route is not offered at every centre. A second opinion confirms whether you are a candidate.
  • Swap Kidney Transplant: If your donor is incompatible, PSRI's Swap Transplant Registry matches you with another incompatible pair so both recipients receive a compatible kidney. A second opinion identifies whether this route is open for your case and how quickly it can be initiated.
  • Direct Matched Transplant: Where a compatible donor is available or a cadaveric option is being considered, the second opinion confirms your surgical fitness, pre-transplant preparation, and post-transplant monitoring plan.
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New Delhi

Press Enclave Marg, J Pocket, Phase II,
Sheikh Sarai, New Delhi, Delhi 110017

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How Does The Second Opinion Process Work At PSRI?

Why A Second Opinion For Kidney Transplant Matters?


Being told a transplant is not possible is not always the end of the road. A second opinion gives you:

  • Confirmation of whether every transplant route, including ABO incompatible and swap, has been properly evaluated.
  • Clarity on what is specifically blocking your transplant and whether it can be addressed.
  • Access to programmes like PSRI's Swap Transplant Registry that many patients do not know exist.
  • Assurance that if transplant is not yet possible, the reason is clinical and not a gap in evaluation.
  • The confidence to act, whether that means pursuing transplant at PSRI or returning to your current centre with new information.
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Get A Free Second Opinion For Kidney Transplant At PSRI Hospital


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If you have been told a kidney transplant is not possible or your donor is incompatible, do not stop there. Submit your reports to PSRI Hospital and access a free second opinion from a kidney transplant team that has solved cases others could not, through ABO incompatible kidney transplants and swap kidney transplants.

Important Medical Note

If you are experiencing sudden reduction in urine output, fever, graft site pain, or severe swelling after transplant, seek emergency care immediately. A second opinion supports planned decision-making and does not replace urgent transplant care.

Frequently Asked Questions (FAQ’s)


Yes. PSRI offers ABO incompatible kidney transplant using desensitisation protocols and swap kidney transplant through a dedicated registry. Submit your reports and our team confirms which route applies.

Two incompatible pairs exchange donors so each recipient receives a compatible kidney. PSRI has a dedicated Swap Transplant Registry and has performed complex multi-pair swaps including a landmark three-couple case.

Yes. What one centre considers a contraindication may be addressable at a higher-volume centre. A second opinion reviews whether the exclusion is absolute or can be resolved with preparation.

Duration alone does not disqualify you. Pre-emptive transplantation before dialysis gives the best outcomes. A second opinion reviews your profile and confirms whether evaluation should begin or be accelerated.

Acute rejection is treatable with adjusted immunosuppression. A second opinion reviews whether your graft has been biopsied recently and whether current post-transplant management is adequately protecting function.

Yes. A second transplant assessment considers graft function, sensitisation levels, and available donor routes including ABO incompatible and swap options. A second opinion identifies the most viable path forward.

Most cases receive a structured specialist opinion within 48 hours. Urgent cases are prioritised. Complex cases requiring donor evaluation are given a clear timeline at first review.
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