Kidney Paired Donation Program

What is kidney paired donation?


Kidney paired donation is a program that matches transplant candidates with suitable living donors. It gives people the chance to become a living kidney donor while ensuring that someone they want to help receives a needed kidney, even if they are not a direct match. Canada’s Kidney Paired Donation program is run by Canadian Blood Services, working with the living kidney donation and kidney transplant programs across the country.


FAQs: Kidney Paired Donation Program

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Who can participate in kidney paired donation?

The transplant candidate must first be referred for kidney transplant evaluation by their kidney doctor. The potential donor can then contact the living donation program nearest to where they live to let them know they are interested in donating a kidney to that person. Both the potential donor and the transplant candidate must complete medical tests and evaluations to ensure they are healthy enough to have the surgeries.

Sometimes, the potential donor’s blood and/or tissue type does not match the transplant candidate’s blood and/or tissue type. In this case, the donation and transplant cannot be done because the transplant candidate’s body will reject the kidney.

A potential donor and transplant candidate in this situation are called an “incompatible pair.” Even though they are not a match with each other, incompatible pairs can consider taking part in a donor swap by enrolling in the Kidney Paired Donation program. A donor swap can include two or more pairs. Each donor donates a kidney and every transplant candidate receives a kidney.

kpd chain
Do you have to be part of a pair to donate in the kidney paired donation program?

No. People who are willing to donate a kidney without a specific candidate in mind can also enroll in the Kidney Paired Donation program. These donors are called “non-directed anonymous donors,” or NDADs, for short. They can kickstart a domino chain effect, with their one donation triggering several transplants. The chain ends with a candidate on a deceased kidney donor wait-list receiving a kidney from the last donor, who is not a match to anyone in the registry.

Do you have to be part of a pair to donate in the kidney paired donation program
What are the benefits of taking part in the kidney paired donation program?

The Kidney Paired Donation program gives incompatible donors another way to help someone they know receive a kidney. It also gives people who want to donate a kidney to anyone in need, an NDAD, the possibility of helping more than one transplant candidate. The benefit of a national program is that it includes pairs from all over Canada, not just one transplant program or one province. This increases the chance of candidates finding a match.

For transplant candidates:

  • Your time waiting for a transplant may be shortened.
  • A transplant can reduce the time you are on dialysis.
  • A transplant may even prevent you from needing to start dialysis. 
  • A kidney from a living donor usually lasts longer than a kidney from a donor who has recently died.

For potential donors:

  • You can help someone you know who needs a kidney transplant, even if you’re not a match for that person.
  • You can donate anonymously to help others receive their kidney transplants.
  • You can improve the life and health of the patient who receives your kidney.
  • You can improve the lives of the patient’s family members as well.
Who can join the kidney paired donation program?


You can be registered as a transplant candidate in the Canadian Kidney Paired Donation program if you meet the following criteria:

  • You are eligible for a kidney transplant in Canada.
  • You have a living donor who is willing and medically able to donate a kidney.
  • You are a Canadian citizen, a permanent resident or you are covered under a provincial, territorial or federal health insurance program while living in Canada.
  • You do not have to be on dialysis to be registered.


You can be registered as a potential donor in the Kidney Paired Donation program if you meet the following criteria:

  • You are an adult in general good health.
  • You are willing to take part in a swap or be registered as a non-directed anonymous donor.
  • You have passed the required medical and psychological tests, through a living kidney donor program, to make sure that it is safe for you to donate.
What else should I know about kidney paired donation?

Kidney paired donation is an established practice in kidney transplantation around the world. In Canada, registered pairs and non-directed anonymous donors have been matched through the Kidney Paired Donation program since 2009.

Surgery is required for donating a kidney and for receiving a kidney and any type of surgery always has some risks. Staff members with your living donation program will discuss these risks with potential donors.

The donations in the Kidney Paired Donation program are anonymous. This means that donors will not be told any information about the person who receives their kidney. Transplant candidates will be told some medical information about the donor with the donor’s consent. However, this only includes the information needed for the transplant candidate to make an informed decision about whether to accept the matched kidney.

Learn more about kidney paired donation.

How do I get started?

If you know a person who is waiting for a kidney transplant, you can talk to them. Or, you can contact a living donation program in your province. If you would like to become a non-directed anonymous donor a living donation program in your province can give you more information.

Contact information for the living donation programs can be found below:



The Living Donor Services Program – Edmonton

Phone: 780-407-8698 | Toll free: 1-866-253-6833



Southern Alberta Transplant Program – Calgary

Phone: 403-944-4635

British Columbia

St. Paul’s Hospital – Vancouver
Tel: 604-806-9027 | Toll free: 1-877-922-9822



Vancouver General Hospital

Phone: 604-875-5182



BC Children's Hospital

Phone: 604-875-2272 | Toll-free: 1-888-300-3088 ext. 2272

New Brunswick
Newfoundland and Labrador

Eastern Health – Waterford Hospital – St. John’s

Phone: 709-777-3601


Western Health – Western Memorial Regional Hospital – Corner Brook

Phone: 709-637-5000 ext. 5396

Nova Scotia and Prince Edward Island

Cape Breton Regional Hospital – Sydney

Phone: 902-567-8067


Queen Elizabeth II Health Sciences Centre – Halifax

Toll-free: 1-888-362-8555

Phone: 902-473-5501


Queen Elizabeth Hospital - Charlottetown

Phone: 902-473-5501


University Health Network – Toronto General Hospital

Phone: 416-340-4800 ext. 4848


St. Michael’s Hospital – Toronto

Phone: 416-867-3676



Hospital for Sick Children – Toronto

*Please contact the team at University Health Network – Toronto General to be evaluated as a living donor on behalf of a child at Hospital for Sick Kids.


London Health Sciences Centre

Phone: 519-663-3552


St. Joseph’s Health Care – Hamilton

Phone: 905-522-1155 ext. 33780


The Ottawa Hospital – Riverside Campus

Phone: 613-738-8400 ext. 82778


Kingston General Hospital

Phone: 613-549-6666 ext. 7112


Centre Hospitalier de l’Université de Montréal

Phone: 514-890-8000 ext. 26616


L’Hôpital Maisonneuve-Rosemont

Phone: 514-252-3400 ext. 3308


Centre Hospitalier de l’Université de Montréal - Sainte-Justine

Phone: 514-345-4931


Centre Hospitalier Universitaire de Québec - Laval University

Phone: 418-525-4444 ext. 15262


Centre Hospitalier Universitaire de Sherbrooke

Phone: 819-346-1110 ext. 14129


McGill University Health Centre

Phone: 514-934-1934 ext. 36003