Home Department Organ Transplant Unit
KG Hospital's NOTTO-authorised Transplant Unit brings together MCh surgeons, transplant nephrologists, hepatologists, intensivists, and transplant coordinators — backed by 24/7 organ retrieval capability and a dedicated Transplant ICU — giving patients and families every possible chance for success.
Organ transplantation is the ultimate life-saving intervention for patients with end-stage organ failure. KG Hospital's Transplant Unit is authorised by NOTTO (National Organ & Tissue Transplant Organisation) and registered with TNOS (Tamil Nadu Organ Sharing) — meeting the highest standards of surgical excellence, legal compliance, and ethical practice under the Transplantation of Human Organs Act (THOA) 1994.
Our multidisciplinary team — transplant surgeons, nephrologists, hepatologists, transplant coordinators, and intensivists — provides an integrated pathway from first consultation through to lifelong follow-up.
All transplants at KG Hospital are conducted in strict compliance with THOA 1994 and its 2011 amendments. Unrelated living donor transplants require approval from the State/District Authorisation Committee. No transplant proceeds without complete legal and ethics documentation.
Tamil Nadu's most experienced living and deceased donor kidney transplant programme — registered with TNOS. Pre-emptive transplantation available for CKD Stage 5 patients.
Living donor and deceased donor liver transplantation for cirrhosis, acute liver failure, biliary atresia, and hepatocellular carcinoma meeting Milan criteria.
Dedicated 10-bed Transplant ICU with isolated positive-pressure rooms. Lifelong immunosuppression clinic, rejection surveillance biopsies, and teleconsultation follow-up.
Kidney transplantation offers end-stage renal disease (ESRD) patients freedom from dialysis, a dramatically better quality of life, and 10–15 more years of life expectancy compared to dialysis. KG Hospital offers both living donor and deceased donor renal transplantation.
Living donor transplants offer the best graft survival, scheduled timing, and near-zero cold ischaemia time. The donor undergoes laparoscopic nephrectomy — smaller incision, less pain, 2-day hospital stay, return to work in 3–4 weeks. The donor's remaining kidney compensates fully within weeks.
KG Hospital is registered with TNOS and receives deceased donor kidneys per the state allocation protocol. Our 24/7 retrieval and transplant teams are always on standby. Once an organ is offered, workup-to-transplant turnaround is under 8 hours.
For highly sensitised patients (high PRA) or ABO-incompatible donors, KG Hospital offers desensitisation protocols followed by transplantation with intensive post-transplant monitoring. Kidney-paired donation (KPD) is also facilitated.
Liver transplantation is the only curative option for end-stage liver disease, acute liver failure, and selected early hepatocellular carcinomas. KG Hospital's hepatobiliary and transplant team performs both living donor and deceased donor liver transplantation.
| Indication | Transplant Type | Remarks |
|---|---|---|
| Cirrhosis (any cause) — MELD >15 | Deceased or Living donor | MELD score used for deceased donor prioritisation |
| Acute Liver Failure | Priority deceased donor | Super-urgent TNOS listing; life-saving indication |
| Hepatocellular Carcinoma | Living or deceased donor | Must meet Milan criteria — excellent 5-year survival |
| Biliary Atresia (paediatric) | Living donor (left lateral) | Parent-to-child donation — small partial graft |
| NASH / NAFLD Cirrhosis | Living or deceased donor | Fastest-growing indication globally |
| Metabolic Liver Disease | Living donor preferred | Wilson's, A1AT, Glycogen storage disease |
The safety of the living donor is our absolute first priority. KG Hospital's donor evaluation programme is independent from the recipient team — a dedicated donor physician advocates solely for the donor throughout the process.
Both recipient and donor undergo a systematic pre-transplant evaluation ensuring safety, compatibility, and legal compliance before any surgery is scheduled.
Tissue typing, PRA (Panel Reactive Antibody) testing, virtual crossmatch, and complement-dependent cytotoxicity (CDC) and flow crossmatch.
Compatibility TestingECG, 2D echocardiography, stress testing (where indicated) for all recipients — cardiac disease dramatically worsens post-transplant outcomes if untreated.
HIV, HBV, HCV, CMV, EBV, TB (IGRA), syphilis, and toxoplasma serology. Vaccination update — Pneumococcal, Influenza, HBV, Varicella before immunosuppression starts.
Voiding cystourethrogram (VCUG), urodynamics (where indicated) to ensure bladder is suitable to receive the transplant ureter.
3D CT angiography of donor kidneys defining vascular anatomy, number of arteries, and kidney volumes to guide surgical planning and right-vs-left nephrectomy choice.
Independent psychologist and social worker assessment of both donor and recipient — ensuring voluntariness, understanding, and readiness.
Long-term graft survival depends on precise immunosuppression management — too little causes rejection; too much causes infection and cancer. KG Hospital's dedicated transplant pharmacist and nephrologist monitor every patient's drug levels, creatinine trends, and biopsy results throughout their post-transplant life.
Rejection, infection, sudden graft pain, or fever after a transplant is a medical emergency. Call our Transplant Unit immediately — day or night.