Background: Since the first laparoscopic donor nephrectomy was first described in 1995 by Lloyd Ratner, this has become the gold standard. The majority of US programs to date perform a laparoscopic approach to donor nephrectomies, either purely laparoscopic vs hand-assisted. In recent years, robotic surgery has evolved as the next step of laparoscopic surgery, with the advantage of improved optics and wristed instruments. More programs are now adopting a robotic approach for their donor nephrectomies. Our institution has developed a completely robotic approach to donor nephrectomy, and since 2012 has performed a total of 319 cases with excellent outcomes for our donors.¹

Aim: With this video submission, we showcase our entirely robotic approach to living donor nephrectomy. We discuss positioning, incisions/port placement and instruments used for this approach. In the video we show a standard left robotic donor nephrectomy. References 1. "Outcomes and Efficiency of an Entirely Robotic Approach to Living Donor Nephrectomy" Bayer J, Arnold D, Raj A, Onaca N, Ma TW, Testa G, Fernandez H ASTS 20_th Annual State of the Art Winter Symposium, Poster Session.