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Prior to the formal evaluation process, all potential transplant candidates are encouraged to attend a “patient education” session. At the meeting, patients are informed about the medical and surgical risks and benefits of renal transplantation, the necessity for frequent outpatient visits in the early postoperative period, the potential adverse effects of immunosuppression, and the importance of compliance with immunosuppressive therapy. The potential advan‐ tages and disadvantages of deceased versus living donor renal transplantation are discussed with the patients, and when possible, with their family members, significant others, and/or friends. Other issues that are addressed include prolonged waiting time for a deceased donor transplant due to the critical shortage of donor organ and adverse effects of waiting time on patient and graft survival. In addition, patients are forewarned that various medical and psychosocial conditions may preclude a patient from being a transplant candidate. Absolute and relative contraindications to kidney transplantation are outlined in table (1).

Medical Evaluation of the Adult Kidney Transplant Candidate