# Four months on, no multi-pair kidney swap transplant in Karnataka 2026-08-14T06:44:04+00:00 | Governance | Indian Opinion Desk Corroboration: 1 independent outlet Four months after Karnataka became the first State to frame multi-pair kidney paired exchange guidelines, not a single such transplant has been done. Only one request reached the State Authorisation Committee and was approved, but the swap fell through due to a misunderstanding between the families. The guidelines, notified on April 4 under the THOTA Act, allow three or more donor-recipient pairs with incompatible donors to exchange kidneys. Dr M. Shivalingaiah, committee chairman, said greater awareness among potential pairs is needed for the framework to work. He added that patients with compatible donors within a swap group must cooperate for the benefit to reach them. ## Coverage - thehindu.com Tags: guidelines, Karnataka, kidney transplant, organ donation, paired exchange, THOTA Canonical: https://indianopinion.org/four-months-on-no-multi-pair-kidney-swap-transplant-in-karnataka/ License: Summary and commentary (c) Indian Opinion, reusable with attribution. Facts belong to the linked sources. Cite: https://indianopinion.org/four-months-on-no-multi-pair-kidney-swap-transplant-in-karnataka/#story-in-brief Review state: restored archive article, accurate at time of publication, not offered to search indexes.