We report on the successful use of kidneys procured from a donor with HELLP
syndrome. The use of organs from a donor with HELLP syndrome has not been
reported previously, perhaps because of the renal complications associated
with it. Both recipients have been doing well since renal transplantation,
with immediate graft function and acceptable graft function at 2 years of f
ollow-up. In view of the continuing shortage of cadaveric kidneys for trans
plantation, this report highlights how organs from "marginal" donors should
not be discarded without worthy consideration.