Eight percent only of the renal transplantations performed each year in France are from a living-donor, to be compared with 30-50% in Northern Europe and the USA. From the experience of these countries, we understand that to be successful, the information has to be delivered early in the course of kidney failure. It means that informing the patient about living-donation should be the mission, not of the transplant team, but of the patient nephrologist. There are many other reasons to give him this initiating role: he has a general vision of the treatment of end stage renal disease for this patient as well as a better knowledge of his psychological, socioprofessionnal and familial situation and he can more easily meet patient's relatives to discuss kidney donation.