We report a case in which a living donor kidney that contained a large
benign cyst was successfully transplanted between a mother and her da
ughter. The donor, a 53-year-old woman, had good renal function, but h
er right kidney contained a large 4-cm cyst that had a benign appearan
ce on computed tomography. At operation the cyst was proven to be beni
gn by frozen-section histological examination and the transplant was p
erformed. Both donor and recipient continue to enjoy satisfactory rena
l function 3 years after transplantation. A review of the literature r
egarding renal cysts and management strategies for use of cystic kidne
ys in transplantation are presented.