On the 18th of January 2023, Prof. Thavam Thambipillai, President of International College of Surgeons, US Chapter, Professor of Surgery at the Sanford School of Medicine, University of South Dakota and the Vice President of IMHO USA did the first kidney transplantation from a living donor, enthusiastically supported by the Surgical, Anesthesia, Nephrology and the Renal care team at Jaffna Teaching Hospital. Patient has been discharged from the hospital and is doing extremely well. Dr. Sathiyamoorthy Director JTH played a key role in getting the legal necessities accomplished and making the resources available as needed. Very many thanks to our donors as their donations helped to develop the Operating Room and the High Dependancy Unit to care for the patient.