BYL Nair Hospital is preparing for its first-ever swap kidney transplant, with two young women as recipients, and each of their mothers serving as unrelated donors. Currently, Nair and KEM hospital are the only two civic-run tertiary care facilities where kidney transplants take place.

Swap kidney transplant occurs when two donors are incompatible with their intended recipients due to mismatched blood groups but match with relatives of others on the waitlist. As is the case with Nair, it involves a mutually beneficial exchange of kidneys between two separate families.