I refer any patient with a GFR of < 20 to a kidney transplant center. I manage my patients after receiving their kidney transplant, which mostly involves adjusting their immunosuppression medications, using trough levels as a guide, and monitoring for infections and malignancies. Many patients ask me if during the operation their native kidneys will be removed. The answer is no, they remain. I see my patients at least every three months to monitor for rejection.
