The results of living non-related renal transplants from India involvi
ng unethical exploitation of the donor are inferior. We followed-up 12
patients from our unit who went to a center in Bombay for renal trans
plantation and compared the results with our local new renal transplan
t programme. Two-year graft survival was 70% compared to 88% with our
new renal transplant program. Also, we emphasised the human side of th
e problem. We addressed the problem of shortages of organ donation loc
ally because failure to obtain consent from relatives and the need for
intensive public education is required to overcome this problem. Fina
lly, Islamic principles and rules that are related to organ transplant
ation have been discussed in detail, and the main purpose is to enligh
ten the Western reader.