 Living donor kidney transplantation is the optimal treatment for end stage renal disease ESKD. This process involves a mandatory period of warm and cold ischaemia before the donor kidney is reperfused. The reperfusion injury causes damage to the transplanted kidney that may affect its long term outcome. In living donor kidney transplantation this period of ischaemia is kept to a minimum. However, minimally invasive kidney transplantation MIKT has been shown to increase the warm ischaemia time for these patients due to the prolonged anastomosis time and the graft and patient are exposed to pneumoperitoneum for a significant amount of time. It is not clear if these events affect graft outcomes. 