Living kidney donors must undergo a comprehensive medical, psychological, and compatibility evaluation before proceeding with surgery [1, 2].

These screenings are critical to ensure the long-term health of the donor and the viability of the transplant for the recipient. By identifying potential risks early, medical teams can minimize complications and increase the probability of a successful outcome [1, 2].

Evaluations typically take place at specialized transplant centers or hospitals, such as the Hospital Reina Sofía in Córdoba [1]. The process includes a series of tests to verify that the donor's remaining kidney can sustain their health, and that the organ is a biological match for the receiver [1, 2].

In Spain, approximately 430 living kidney donations occur annually [2]. These procedures provide a vital alternative for patients who cannot find a deceased donor in time to prevent severe health decline.

Medical professionals focus on the safety of the donor as a primary priority. While some reports suggest that living donors face a high risk of renal failure [2], other data indicates that these donors are not more prone to developing kidney failure than the general population [3]. Because of these differing perspectives, the rigorous screening process remains the primary safeguard against future health crises.

Psychological assessments are also a standard part of the protocol. Specialists ensure that the decision to donate is voluntary, and that the donor understands the lifelong implications of the surgery [1, 2]. This holistic approach prevents coercion and ensures the donor is mentally prepared for the recovery process.

Living kidney donors must undergo a comprehensive medical, psychological, and compatibility evaluation.

The reliance on strict evaluation protocols highlights the medical community's effort to balance the urgent need for organs with the ethical requirement to protect healthy donors. As living donations provide a more controlled timeline than deceased donations, these screenings are the only mechanism to prevent long-term morbidity in a healthy population.