“…In spite of the growing popularity of KPD, this practice has not yet caught on in South America. In this issue of the Brazilian Journal of Nephrology, Medina-Pestana et al 5 and Bastos et al 6 debate the merits and potential pitfalls of KPD. The authors of both articles summarize the literature in the field of KPD, with Bastos et al 6 coming out strongly in favor of KPD, while Medina-Pestana et al 5 express great caution not only with KPD but also with living donation and perhaps transplantation in general.…”