Paired Exchange Explained: What Happens When Your Donor Isn't a Match
Paired kidney donation is a swap: a willing donor who is not a match for you gives to someone else, and that pair’s donor gives to you. Accredited transplant programs run those swaps — not this website. Nobody is paid for an organ.
What that situation is
Someone offered a kidney, and testing said it would not work between the two of you — usually the wrong blood type or a positive crossmatch. Programs may later exchange donors so each recipient still receives a compatible kidney. That work happens at an accredited transplant center, not in this matching queue.
What you order here
Still looking for a kidney or liver donor? Start confidential matching. Already have a willing person who isn’t a match? They join free. You order a Center & Options Review so an Independent RN Navigator prepares the conversation with the program.
Vouchers
Some programs let a donor give now so a named person has future priority if they later need a kidney. Who can be named, and how long that lasts, is program-specific. That conversation is the Review. Nobody is paid for an organ.
Next: Family isn't a match · Start matching
This is general information, not medical advice. Program details vary by transplant center and can change — confirm specifics with your transplant team. We do not run paired-exchange registries.