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​​​​​​The transplant programs at Baylor University Medical at Dallas and Baylor Scott & White All Saints Medical Center – Fort Worth, together have performed more than 4300 kidney transplants since the kidney transplant program began in 1985. In the past decade, we’ve averaged 200 kidney transplants annually at the Baylor transplant programs. 

At the Annette C. and Harold C. Simmons Transplant Institute, kidney transplant candidates also have the option of considering a combined kidney/pancreas transplant. Simultaneous kidney-pancreas transplants are performed for patients with either Type 1 or Type 2 diabetes who qualify. The dual transplant functions better than a kidney alone because the new pancreas protects the transplanted kidney from the harmful effects of diabetes. As a result, the new kidney performs better and longer in the kidney/pancreas transplant recipient. Many kidney/pancreas transplant recipients are free of diabetes years after their transplant and report a better quality of life than kidney-alone patients.

Patients on the waitlists at Baylor will wait on average four months for a simultaneous kidney/pancreas transplant. This reflects some of the shortest wait times of all transplant centers in the region and nation.

Kidney transplant candidates and kidney/pancreas transplant candidates gain improved access to organs through Annette C. and Harold C. Simmons Transplant Institute’s two transplant center locations at Baylor University Medical Center at Dallas and Baylor Scott & White All Saints Medical Center – Fort Worth. These two transplant center locations are served by two separate organ procurement organizations (OPO) providing patients access to organs from both OPOs.

Contact Us

Dallas – Recipients

Dallas Nephrology Associates: 214-358-2300

Fort Worth – Recipients

Baylor Annette C. and Harold C. Simmons Transplant Institute

Baylor Scott & White All Saints Medical Center – Fort Worth: 817-922-4650

Dallas Donors: 214-820-GIFT

Fort Worth Donors: 817-922-2990

For more information, visit Baylor Scott & White Health Kidney Transplant.


​​​​​​​Kidney Transplant Services

The transplant programs at Baylor University Medical Center at Dallas and Baylor All Saints Medical Center in Fort Worth, together, have performed  2900 kidney transplants since the kidney transplant program began in 1985.  In the past decade we've averaged 190 transplants annually.

According to the United Network for Organ Sharing, the 3-year Patient and Graft Survival rates for both Baylor Dallas and Baylor Fort Worth exceeds the national average.

Kidney Patients awaiting transplant at Baylor spend less time waiting for an organ.  The median time patients spend on the waitlist is 24.5 months at Baylor Dallas and 21.2 months at Baylor Fort Worth. The national wait time for a kidney is more than 4 years.

In addition, transplant candidates have the option of considering a combined kidney/pancreas transplant.  The combined kidney pancreas transplant can be performed for either type I or type II diabetes patients.  Also, diabetic patients who have previously undergone kidney transplantation can receive a pancreas transplant afterward.  This is called pancreas-after-kidney transplantation.  Finally, type I diabetics without any kidney disease may qualify for a pancreas (whole organ) transplant or islet cell transplant.   

Research reveals that pancreas-after-kidney transplant protects the transplanted kidney from the effects of diabetes and kidney transplants last longer when performed in combination with a pancreas transplant.  According to the Scientific Registry of Transplant Recipients (SRTR) database, pancreas transplants have the best results when combined with a kidney transplant. 

For a more detailed explanation of pancreas transplantation, click the link below:

Whole-Organ Pancreas Transplantation at Annette C. and Harold C. Simmons Transplant Institute: A Chance To Cure Diabetes

Baylor Dallas and Baylor All Saints Transplant Services provides comprehensive kidney transplant services, including evaluation, living kidney donation coordination, transplant surgery, post-operative care, long-term follow-up care, support groups, housing coordination and financial services.​

​​​​Who Are Candidates for Kidney Transplant?

We consider transplantation to be the preferred treatment for most patients with end stage renal disease (ESRD), regardless of the cause of their kidney failure. Any individual with ESRD is a potential transplant candidate. You do not have to be on dialysis to be evaluated for or receive a transplant.

For some people, a kidney transplant may not be an option due to other medical problems. Some of the most common reasons you would not be eligible for renal transplant include the following:

  • Significant cardiovascular disease
  • Active malignancy or history of cancer within the last five years
  • Alcohol and drug dependency or abuse
  • Psychiatric (Mental) disorders that are not controlled by treatment
  • Non-compliance with medication and physician treatment recommendations
  • Obesity (Overweight patients will be evaluated by the Transplant Surgeon and weight reduction programs may be recommended before the medical evaluation can be initiated or completed.)
  • Severe liver disease
  • Severe lung disease
  • Active infection

Partners in Transplant Care

Annette C. and Harold C. Simmons Transplant Institute works collaboratively with Dallas Nephrology Associates (DNA) to care for kidney transplant patients. DNA is the largest nephrology practice group in the United States, and has been in existence for over 35 years. Dallas Transplant Institute, owned and operated by DNA, opened in June 1981 and provides medical evaluation to patients who are being considered for a kidney transplant at Baylor and also provides follow-up medical care to patients who have received a transplant.

Dallas Transplant Institute
Dallas Transplant Institute
3601 Live Oak, Suite 100
Dallas, Texas 75204
(214) 358-2300

Dallas Pre-Transplant Group
1420 Viceroy Drive
Dallas, Texas 75235
(214) 358-2300

Dallas Transplant Institute (DTI), located on Live Oak opened in 1981 to provide services to patients requiring transplantation. Since that time it has grown to meet the many needs of transplant patients with a commitment to providing complete services for kidney and kidney/pancreas transplant patients. The Dallas Pre-Transplant Group, a component of DTI, is located at Viceroy Drive where they provide consultation to potential kidney transplant recipients and donors.​

Referral and Pre-Transplant Surgery Process

The referral process begins when a patient completes and turns in an application form to Dallas Transplant Institute (DTI). When the application is received, a Pre-Transplant Coordinator will be assigned to the patient.

When patients are approved to begin the medical evaluation for transplantation, one of the first appointments will be at the Dallas Pre-Transplant Group located on Viceroy Drive. The patient will be scheduled for an orientation/education session, provided with educational material, and given an opportunity to ask any and all questions. A Pre-Transplant Coordinator will meet with the patient to discuss tests or procedures necessary during the medical evaluation. Patients will be scheduled for a Transplant Nephrologist consultation in the same location. Appointments for social worker assessment, laboratory testing, x-ray and sonograms will be scheduled at DTI located on Live Oak.

We use the American Society of Transplantation (AST) clinical practice guidelines for the valuation of renal transplant candidates and living renal transplant donors. These guidelines were designed to assist the healthcare team in the evaluation process that leads to renal transplantation and in the evaluation process of potential living kidney donors. Although they are very comprehensive, they do not cover every possible situation, since each potential transplant recipient and each potential living donor have unique characteristics that require specific evaluation and intervention.

Every patient's evaluation will include the following:

  • Transplant Nephrologist Evaluation
  • Transplant Social Worker Evaluation
  • Blood work which will include: Routine Blood Chemistries; Tests to Rule Out Active Hepatitis, Syphilis, and AIDS; Blood-typing and Tissue-typing Tests which will help the Transplant Team Find the Best Possible Kidney Match for You
  • Chest X-Ray, Renal Sonogram
  • Electrocardiogram, TB Test and Stool Test for Blood

Other parts of the evaluation will depend on the patient's diagnosis, age and past medical history. The Pre-Transplant Coordinator will discuss these individually with each patient.

How long will my evaluation take?

The pre-transplant medical evaluation takes a few weeks or up to several months, depending on the complexity of the patient's medical problems. Cooperation in keeping appointments and responding to requests can greatly reduce the work-up process time.​

Kidney Transplant Surgery

The actual kidney transplant surgery usually takes two to four hours. The kidney is usually placed in the front on either side of the lower abdomen (pelvis). The area is selected for several reasons:

  • It is easier to connect the tube that carries the urine from the kidney to the bladder (called the ureter).
  • This is the best position for the doctors, nurses, and you to feel the new kidney in determining its size and whether there is tenderness.

Immediately after the surgery, you will be cared for in the transplant intensive care unit. When medically stable, you will return to your room on the transplant floor where you will be cared for by our world-class transplant team. The Baylor transplant team has received specialized training in caring for transplant patients. Members of the team include doctors, nurses, and physician assistants, transplant coordinators, a dietitian and a social worker. A chaplain is also available to provide spiritual guidance to those families that request it.

Kidney Transplant Post-Surgery

The average length of your hospital stay after receiving your kidney is 5 to 7 days. Discharge will be granted based on positive results of the following:

  • Is your new kidney producing urine?
  • Did you experience any rejection episodes?

Dallas Transplant Institute

After you are discharged from the hospital, you will receive follow-up care at the Dallas Transplant Institute (DTI). At DTI, our medical professionals will examine your health and perform blood tests, as needed, evaluate your medication levels, and report results to your physician. You will visit DTI an average of three times a week for the first several weeks following your transplant. As your kidney function stabilizes, your visits to DTI will decrease. Your physician will determine your appointment schedule based on examination and laboratory results reported.

Post-Transplant Evaluations

You will be required to have one or two post-perative visits with your Transplant Surgeon for evaluation and progress.

You will need to be seen regularly by a physician as long as you have your transplanted kidney

Dallas Transplant Institute is located at 3604 Live Oak, Suite #100. When you come to the clinic, you will be weighed, have blood drawn, and asked to give a urine sample. One of the nurses will review your medicines and any problems you might have. Then you will be seen and examined by one of the Transplant Nephrologists, Physician Assistants and/or Nurse Practitioners in the clinic.

Who will take care of me when I return to my home if I am an out-of-town patient?

The physician who referred you for transplant will be responsible for your medical care when you return to your home. At first, you will alternate visits with your physician and DTI physicians. As your kidney function stabilizes, the visits to DTI will become less frequent.

You will be asked to return to DTI at regular intervals or if you experience any health problems associated with your transplant.

​​​​​Patient Education

Click on each link to view videos posted on the American Society of Transplant Surgeons web site.

Living Kidney Donation: What You Need to Know

Living Kidney Donation What You Need to Know (Spanish)

Kidney Transplantation a Guide for Patients and Their Families

Kidney Transplantation a Guide for Patients and Their Families (spanish)

Article Combined Kidney - Pancreas Translate Improves Survival in Type 1 Diabetes - diabetes in control news and information for medical professionals