Abstract
This case report describes the successful kidney donation of a 68-year-old female to a 56-year-old female recipient with end-stage renal disease (ESRD). The donor in this case presented with an extensive abdominal surgical history, which had resulted in an incidental injury to the right ureter and a subsequent nephrostomy tube placement. After establishing the low likelihood of reconstruction of the damaged ureter, she then initiated kidney donor evaluation after electing to undergo a nephrectomy. This case report highlights the meticulous evaluation and preparation of the donor under particular circumstances, the surgical techniques employed, and the positive outcomes for both the donor and the recipient.