# Wait List **URL:** \ **Category:** Dr. John Agar, Nephrologist\ **Created:** [September 18, 2010, 8:24am UTC](https://forums.homedialysis.org/t/wait-list/2431 "2010-09-18T08:24:03Z")\ **Posts on this page:** 3\ **Page:** 1
**Author:** ![system](https://d16rlmixcfjfyh.cloudfront.net/original/1X/5d85dacb7e76ee0f7b162785afa5f129bc0805ad.png) [@system](https://forums.homedialysis.org/u/system)\ **Post date:** [September 18, 2010, 8:24am UTC](https://forums.homedialysis.org/t/wait-list/2431/1 "2010-09-18T08:24:03Z")
Dear Dr. Agar, If a pt has a living donor, must (s)he be put on a wait list for a kidney transplant? Thank you, Dale Freundlich ---
**Author:** ![John\_Agar](https://forumcdn.homedialysis.org/user_avatar/forums.homedialysis.org/john_agar/32/221_2.png) [@John\_Agar](https://forums.homedialysis.org/u/John_Agar)\ **Post date:** [September 20, 2010, 5:15pm UTC](https://forums.homedialysis.org/t/wait-list/2431/2 "2010-09-20T17:15:24Z")
Re Wait List It is the practice, at least in Australia, to place any suitable transplant candidate on the deceased donor (DD) transplant waiting list - and that includes those where there is a potential, likely or even certain living donor - and this is so, from the dialysis start date. However, I cannot speak for the practices in other countries. Where the potential recipient has still not commenced dialysis but a donor has been identified and worked-up for a ‘pre-emptive’ transplant - a graft planned to be undertaken prior to dialysis start - this is clearly not the case … but once a patient commences dialysis and thus has access to a listing on the DD waiting list, we list all potential recipients. It can happen - and has happened - that while a live donor is being worked up, a perfect match DD emerges. The live donor option may ‘fall through’ during work-up or for one of many potential reasons, not progress. Unlisted, the then potential recipient of that live donor kidney would be waiting-time and list-place disadvantaged if he/she had remained unlisted on the assumption that a live donor graft would proceed, only then after (sometimes) months of work-up of an expected live donor, the LD transplant fell at a final assessment hurdle. Most would probably agree that a perfect match DD would be preferable to the ‘risking’ of a living donor - for things can still go wrong with living donor grafts … or even living donors. Unfortunately, transplantation and the procurement of live donor kidneys is still not without risk. I don’t want to deviate too far from the purposes of this site (haemodialysis issues … and especially home haemodialysis isues) but these are the broad tenets that govern our practices in Australia. They may differ, country to country, so what I have answered may not be entirely in line with the practices elsewhere - eg: the US - so, I stand to be corrected if I things are different there. I hope that gives a brief answer to your question. ---
**Author:** ![system](https://d16rlmixcfjfyh.cloudfront.net/original/1X/5d85dacb7e76ee0f7b162785afa5f129bc0805ad.png) [@system](https://forums.homedialysis.org/u/system)\ **Post date:** [September 22, 2010, 9:45am UTC](https://forums.homedialysis.org/t/wait-list/2431/3 "2010-09-22T09:45:39Z")
Thank yoou for the information. Dale Freundlich