The first kidney transplant program in Nepal was launched in 2009 by Dr. Dibya Singh Shah at Tribhuban University Teaching Hospital (TUTH) with the help of an Australian transplant surgeon. Over 200 transplants have been performed, but these are exclusively living related. Launching and maintaining a quality kidney transplantation has been a heroic effort on the part of Dr. Dibya Singh. Many in her place would probably not pulled off what she has done.
However, more needs to be done. No living unrelated transplants are allowed under Nepalese law and there is no deceased donor program.
The government of Nepal needs to change it's policy on unrelated donor transplantation. By not allowing this to happen, a sizable number of patients are denied the opportunity of receiving a transplant and a new lease on life. It is a pity that the price of avoiding a small number of bad actors doing commercially motivated transplantation in Nepal means patients who have an unrelated donor being unable to undergo transplantation. It doesn't seem either feasible or sensible to limit a whole country to an approach that is essentially driven by fear.