This is the story of how we are beginning to perform live donor renal transplant (LDT) at Kingston Health Sciences Center (KHSC). Like many of the stories in this News Discovery and Innovation blog much of the high tech is built on a strong team of doctors (surgeons and physicians) from several Departments, nurses, and technicians. This story emphasizes a common series of barriers that must be overcome to create programs of innovation such as this one. Kidney failure is a big problem-for the patient and for society.