Living-donor kidney transplantation (LDKTx) yields the best results of all renal replacement therapies in term of patient and graft survival. It is the main way of RTX in many countries because of worsening patients' outcome due to the accumulation of aged patients with long time period of dialysis treatment and no more possibility to increase the number of cadaver transplantation. Because of concerns dealing the risks inflicted to the donors, we decided to evaluate the risks & long term complications of (LDKTx). A total of 86 living kidney donors (M=58,F=28) with kidney donation more than 1 years (Mean=17.24±5.04) & mean age 28.97±4.75 years were evaluated for 3 years. Basic information regarding the donor's current health status including physical examination & blood pressure and serum urea & creatinine & serum Albumin, blood glucose, Lipid profile, Urine analysis & 24hours protein were evaluated every 6 month after kidney donation. Also ultrasound of kidney and urinary tract & testis were performed in these periods.Donor nephrectomies were left-sided in 60 (69.8%) cases and right-sided in26 (30.2%) cases. The majority of the donors (n=80) were unrelated (93%). There was a total complication rate of (54.6%). The most cmmon noticible complication was hypertention (37.5 %). serious complications occurred in 5 cases (5.8%). In 6 (6.9%) patients serum creatinine was >=1.4mg/dl. Microalbuminuria was found in 10.4%, hematuria in 13.9%, pyuria in 8.1%, renal stone in 6.9%. Varicocele was found in 24.1%of male patients (23.3% of patients whom left nephrectomised). Persistent pain was reported by 44.1%. Anti-depressants were prescribed to 9.3% of donors because of sever depresstion. Living kidney donation isn’t so safe and has some late complications. Precise pre donation evaluation & long term follow up of kidney donors for detection & prevention of farther complications is necessary.