Bridging the Gap: Confronting the Rising Burden of Kidney Transplantation Needs in India

A BSTRACT This article examines the widening gap between the growing burden of end-stage kidney disease (ESKD) and limited access to kidney transplantation in India. It outlines key structural, financial, and sociocultural barriers while highlighting regional disparities and gender imbalances. It presents practical, policy-oriented recommendations to strengthen deceased and living donor programs, enhance referral pathways, and improve transplant infrastructure. With a focus on equity, sustainability, and systemic reform, the article emphasizes the need for coordinated national efforts to ensure timely, ethical, and accessible kidney transplantation for all patients, particularly those in underserved and economically disadvantaged communities.