Transplant
Starting from
$30,000
Up to $150,000 depending on centre
Typical duration
45–120 days
Including pre-operative work-up
Partner hospitals
1
Vetted for outcome data & accreditation
Content reviewed for medical accuracy by: Dr. Rodina Ainasoa · Medical Content Writer & Health Communications
Simultaneous multi-organ transplantation — including kidney-pancreas, heart-lung, and liver-kidney combinations — for patients whose disease affects more than one organ system. Only a select few globally recognized centers offer these highly complex procedures, with India's leading transplant hospitals emerging as an accessible destination.
Your case is matched to a centre on the basis of clinical outcome data, not marketing. We coordinate every step — from pre-operative work-up to post-treatment follow-up — with a dedicated care coordinator.
Combined Organ Transplant
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When a patient needs transplants of two organs — such as a kidney and pancreas, or a liver and kidney — the two organs can be transplanted together in one operation or staged as two separate surgeries. Here is how the two approaches compare.
| Parameter | Simultaneous (Combined) Transplant | Staged (Sequential) Transplant |
|---|---|---|
| Number of operations | Both organs are transplanted in a single combined operation, under one anesthetic episode. | Two separate operations, typically performed months to years apart as each organ's failure becomes clinically significant. |
| Typical operative time | A longer single operation — commonly reported in the range of roughly 6-9 hours combined for a simultaneous kidney-pancreas transplant, per peer-reviewed transplant surgery literature. | Two shorter, separate procedures, each closer in length to a standalone single-organ transplant. |
| Best suited for | Patients whose two organs are failing concurrently, such as type 1 diabetes with end-stage kidney disease, where combined surgery avoids a second major operation later. | Patients whose organs fail at different times, or where donor-organ allocation and timing make sequencing the two transplants more practical. |
| Immunosuppression start | One combined immunosuppression protocol is initiated at once, covering both grafts from day one. | Immunosuppression is initiated and adjusted twice — once after each surgery — with the regimen retuned around the second transplant. |
| Initial hospital stay | A longer single hospital admission covering recovery from both organ transplants together. | Two separate, typically shorter hospital admissions, one for each surgery. |
The steps below outline a typical simultaneous combined organ transplant, using kidney-pancreas transplant as an illustrative example. Your transplant team will confirm the exact plan for your specific organ combination, which may differ for heart-lung or liver-kidney transplants.
Multi-disciplinary evaluation and organ matching
A transplant team spanning each relevant specialty (such as nephrology, endocrinology, cardiology, or hepatology alongside transplant surgery) evaluates whether the patient is a suitable candidate for combined transplantation, and the case is registered for matched-donor organ allocation.
Anesthesia and first organ implantation
Under general anesthesia, the surgical team implants the first donor organ, connecting its blood vessels and, where applicable, its duct or ureter to restore blood flow and function.
Second organ implantation and reconstruction
The second donor organ is then implanted in the same operation, with its own vascular and duct or ureteral reconstruction, before both grafts are checked for adequate blood flow and early function.
ICU stabilization and combined immunosuppression
The patient is transferred to intensive care for close monitoring of both new organs, and a combined immunosuppression protocol is started to reduce the risk of rejection of either graft.
Close ICU and high-dependency monitoring of both organ grafts, including frequent blood tests to check kidney and pancreas (or other organ) function and early detection of rejection or graft complications.
Continued hospital-based or closely supervised recovery as immunosuppression doses are fine-tuned, wound healing progresses, and the patient is gradually mobilized; total hospital stay for combined transplants is typically longer than for a single-organ transplant.
Return home or to a nearby recovery residence with regular outpatient follow-up, ongoing laboratory monitoring for both grafts, and dose adjustments to immunosuppression as the risk of early rejection declines.
Lifelong immunosuppression and periodic monitoring of both transplanted organs continue indefinitely, with most recipients able to return to normal daily activity while maintaining regular transplant clinic follow-up.
Source: American Society of Transplantation; Mayo Clinic; Cleveland Clinic; peer-reviewed simultaneous pancreas-kidney transplant literature. Individual recovery varies by organ combination and is guided by your transplant team.
Known Risks & Limitations
Source: UNOS/OPTN; American Society of Transplantation; Mayo Clinic; Cleveland Clinic; peer-reviewed transplant literature. No procedure is without risk; your transplant team will review your individual case.
Remote case review
Share your medical records, organ function tests, and prior treatment history with our coordination team, who forward your case for an initial multi-disciplinary review of suitability for combined transplantation abroad.
Transplant center and team matching
We match you with an accredited transplant center with a track record in your specific organ combination and confirm the surgical and specialist teams involved in your care.
Cost estimate and eligibility clarity
We issue a consolidated cost estimate covering evaluation, surgery, immunosuppression, and extended hospital stay, and clarify upfront what donor-organ pathways (living-donor or otherwise) are realistically available to you as an international patient.
Travel planning for an extended stay
Given the longer combined-transplant recovery period, we help plan an extended trip length covering pre-transplant workup, surgery, and the initial weeks of close post-operative monitoring.
Follow-up and continuity of care
Before you depart, your full transplant records, immunosuppression regimen, and monitoring schedule are shared with your home-country transplant physician so they can continue your lifelong follow-up care.
Average coordinated costs across our partner centres. Final pricing depends on clinical complexity and chosen hospital.
| Country | Avg. cost | vs. cheapest |
|---|---|---|
🇮🇳 India New Delhi · Chennai · Bengaluru · Hyderabad · Mumbai · Kochi | $40,000 | —chevron_right |
🇹🇷 Turkey Istanbul | $80,000 | +100%chevron_right |
Costs are indicative estimates and vary by procedure specifics, hospital, and clinical complexity. Request a personalised estimate for your specific case.
Kochi, India
Amrita Hospital Kochi is a major teaching hospital in Kerala with extensive departments, advanced diagnostics and strong academic/research links. Established in 1998, it operates 1350 beds with 450 doctors across cardiology, oncology, haematology, neurology and orthopaedics, and holds NABH, NABL and ISO 9000:2015 accreditation, combining tertiary clinical care with medical education and research.
450+
Specialists
1,350+
Beds
Simultaneous multi-organ transplantation is preferred when the disease process has damaged more than one organ and transplanting one alone would be insufficient or unsafe. The classic example is simultaneous kidney-pancreas transplant for Type 1 diabetics with end-stage renal disease — transplanting only the kidney without the pancreas would mean ongoing diabetes continues damaging the new kidney. Similarly, certain congenital heart diseases cause irreversible lung hypertension requiring both organs to be replaced together. Doing the transplants simultaneously also means one anesthetic event and a single immunological challenge, reducing cumulative risk.
No fees. No commitment.
We are compensated by our partner hospitals — never by patients. You get independent clinical matching, cost transparency, and end-to-end coordination at no cost to you.
