Despite the known benefits of live-donor renal transplantation as a treatment for end-stage kidney disease, it is also associated with a variety of stressors. In this longitudinal, phenomenological study the researchers explored stressors and coping mechanisms between living related kidney donors and their recipients. Researchers interviewed 11 pairs pre-transplant, and 3 and 10 months post-transplant using semi-structured interviews. The researchers identified a number of common stressors, including the live transplant decision-making process, the prospect of surgery and postoperative recovery, follow-up care for donors and, in particular, concern for each other, especially amongst recipients. The main stressor was fear of transplant failure. The authors conclude that patients need to be adequately informed of the risks associated with transplantation and provided with appropriate emotional care and support throughout the transplantation process. Health professionals also need to be mindful of assessing the needs and managing realistic expectations of patients and their families.