Péter Biró writes with good news about kidney exchange in Hungary.
Here's the announcement from the University of Pécs, of the first kidney exchange performed in Hungary, following the first legislation passed to legalize kidney exchange in 2014. (And more details follow from a second announcement below.)
The first cross-donation kidney transplant was performed in Hungary at the University of Pécs Clinical Center 2026.01.29
"The first cross-donation kidney transplant performed in Hungary a few days ago can be considered a new milestone in the history of organ transplantation in Hungary. Within the framework of the living donor kidney exchange program, two women received new kidneys at the Department of Surgery of the University of Pécs Clinical Center (PTE KK), which gives them the opportunity for a better quality of life. It is particularly interesting that in both cases the organ donor was a male member of the other couple.
...
"In his speech, Dr. Péter Szakály, Head of Department of the Department of Surgery of the University of Pécs, emphasized that: The establishment of a national pool was of fundamental importance in this program, and this program will be able to operate successfully in the future as well if there are as many such couples as possible. He also added that compared to traditional kidney transplantation, living donor transplantation is always a much greater challenge (...) Transplantation with a living donor comes with increased responsibility, as it involves a healthy donor. In this case, two surgeries were performed at the same time: Ádám Varga, assistant professor, and I simultaneously removed and replaced the organs between the two pairs from the adjacent operating room.
"Since 2014, the law allows this type of transplant, but no specific surgeries have been performed so far. Recognizing this shortcoming, at the initiative of the National Hospital Administration, the four kidney transplant centers in Hungary and the Regional Kidney Transplant Committees operating there, in cooperation with the National Blood Transfusion Service, have developed a nationally uniform program in accordance with the legislation in force, which ensures equal opportunities for all patients who voluntarily enter the program. This became the living donor kidney transplant exchange program, which was launched in Hungary on June 21, 2024. The search for optimally compatible pairings between the pairs applying for the program is carried out with the help of a software developed for this purpose."
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And here is the emailed announcement forwarded by Peter Biro, who has been a champion of kidney exchange in Europe for many years now:
Dear EURO-KEP
Colleagues,
We are pleased to inform you that we
have reached a significant milestone within the Hungarian Kidney Paired Kidney
Exchange Program (HKEP), in line with the objectives of the EURO-KEP
initiative.
On January 20, 2026, the first
two kidney transplants were successfully performed in Hungary within the
national living donor kidney exchange program. The surgeries took place at
the University of Pécs Clinical Centre, marking the first realization of
kidney cross-over donation in the country.
We believe that this milestone,
supported by a well-structured professional and patient information campaign
lasting more than a year and a half, will contribute to increasing the number
of living donor kidney transplants and encourage more patients and voluntary
donors to join kidney exchange programs. This, in turn, will support further
kidney exchanges and improve equal access to transplantation.
Chronology and key developments of the Hungarian KEP
- June
2024 – With the support and
authorization of the National Directorate General for Hospitals (OKFŐ), a nationally
unified kidney paired exchange program was launched, coordinated
by the National Blood Transfusion Service, with the participation of all
four Hungarian kidney transplant centers and regional waiting list
committees.
- Since
the launch – The matching algorithm
has been run every three months; to date, six matching runs have
been completed, involving 57 donors and 44 recipients. The seventh
run is scheduled for tomorrow.
- July
2025 – A key legislative
amendment entered into force, allowing:
- simultaneous transplants among more than two
donor–recipient pairs in a closed chain,
- transplant surgeries to be performed in different
centers, enabling patients to remain at their original listing centers
and
- not only incompatible pairs can join the program, but
compatible pairs in the hope of better matching.
- Following
the legal amendment, an updated and detailed printed patient
information package was distributed nationwide, with the
involvement of all dialysis units and transplant centers.
- During
the optimization process, a clinically acceptable match was identified
between two married couples. In both cases, the male partner
donated a kidney to the female recipient of the other couple. The
transplant surgeries were performed on 20 January 2026 at the
Surgical Clinic of the University of Pécs Clinical Centre. In both cases,
graft function started immediately. The recipients and donors are in good
condition and both patients were discharged home on Friday.
We consider this achievement a significant
milestone in Hungarian transplantation and a meaningful contribution
to the shared European objectives of the EURO-KEP project. We remain
committed to continuing this work in the service of saving lives.
Best regards,
Dr. Sándor Mihály, Ph.D
Director of transplantation
Honorary College Associate Professor
at Semmelweis University
General Secretary of the Hungarian
Transplant Society
EDTCO Past-Chair 2023-2025

Organ Coordination Office
Central Waiting List Office
National Organ and Tissue Donation
Opting-out Registry
Hungarian Stem Cell Donor Registry