Introduction

Organ Transplantation being a surgical procedure where healthier organ is inserted to the diseased recipient. Nepal, a population of 30 million along with the incidence of 3000 renal failure annually. Every year approximately more than 6 billion Nepalese rupees are spent of foreign soil for Kidney Transplantation. Shahid Dharma Bhakta National Transplant Centre (SDNTC) has been developed as a National Transplant centre by Ministry of Health and Population. Our center accounts more than 80 percent of Kidney transplantation done in Nepal every year.

Aim and Objective

To highlight the Issues in Kidney Transplantation, achievements of organ transplantation in Nepal.

Materials and Methods

Transplantation updates from SDNTC and detailed history of transplantation has been illustrated with achieved milestone in the Nepalese transplantation field. A total of 660 Kidney transplantation have been performed so far within 6 year of its establishment. Surgery cost is supported by the government along with the state of the art transplant centre has prevented many poor patients venturing foreign soil for transplantation.

Results

A total of 660 kidney transplantations have been performed so far within 6 year of its establishment. During last three years, we average about a 150 plus cases of kidney transplantation per year. The Transplantation milestones have been highlighted in fig no 1. With new amendment in transplantation law; extended donor criteria including pair exchange and transplantation from deceased donor; a donor pool has been increased along with the number of transplantation.

Conclusion

Organ Transplantation is the standard procedure in respected diseased condition. In developing countries like ours, social changes take time. Averaging 150 cases per year itself is a meritorious achievement. In western centre, more than 80 % of organ transplantation rely on deceased donor where as we have performed just 3 cases of deceased donation Kidney transplantation. A state of the art center in Nepal has prevented efflux of billions of rupees to foreign soil; millstone coverage by local media has brought awareness in organ donation including trafficking. Therefore Organ Donation and Transplantation being a noble cause should get a national attention.