KIDNEY PANCREAS: Edited by Jim KimThe need for a living donor wellness programKim, Jima; Kim, Susanb; Genyk, Yuria; Maw, Thin ThincAuthor Information aDivision of Hepatobiliary and Abdominal Transplant Surgery, Department of Surgery bTransplant Institute cDivision of Nephrology, Department of Medicine, Keck Medicine of USC, Los Angeles, California, USA Correspondence to Jim Kim, MD, Division of Hepatobiliary and Abdominal Transplant Surgery, Keck Medicine of USC 1510 San Pablo Street, Suite 200, Los Angeles, CA 90033, USA. Tel: +1 323 442 5908; fax: +1 323 442 5874; e-mail: email@example.com Current Opinion in Organ Transplantation: August 2020 - Volume 25 - Issue 4 - p 311-315 doi: 10.1097/MOT.0000000000000779 Buy Metrics Abstract Purpose of review Living donation has a tremendous impact in bridging the gap between the shortage of organs and the growing list of transplant candidates but remains underutilized as a percentage of total transplants performed. This review focuses on obesity and social determinants of health as potential barriers to the expansion of living kidney donation. Recent findings The growing rate of obesity and associated metabolic syndrome make many potential donors unacceptable as donor candidates because of the future risk for developing chronic health conditions, such as hypertension and diabetes. There is also increasing evidence demonstrating socioeconomic differences and racial disparities potentially limit access to living donation in certain populations. These potentially modifiable factors are not exclusive of each other and together serve as significant contributing factors to lower rates of living donation. Summary Living donors make sacrifices to provide the gift of life to transplant recipients, despite the potential risks to their own health. Studies describing risk factors to living donation call attention to the overall need for more action to prioritize and promote the health and well being of living donors. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.