The first tests that are typically done for all donor-recipient pairs are a blood type and crossmatch to see if the donor and recipient are “compatible”. In the past, an incompatible pair had no alternative, and the potential recipient simply stayed on the deceased donor waitlist. Now it is possible for even incompatible pairs to enjoy the many benefits of living donation. Paired exchange, also known as paired donation, is an option that matches incompatible donor-recipient pairs with other pairs, and they “exchange” donors. We are offering paired exchange for all incompatible donor-recipient pairs in our center. We are pleased to be a partner in the Alliance for Paired Donation (APD). The APD is a national organization that joins transplant centers together to provide a larger pool of incompatible pairs for potential exchange transplants.