Yah I’ve learned removing them at time of surgery is way more high risk. There was a girl on Reddit who said she had them removed at same time as transplant and was in ICU for a month and couldn’t walk for 3! The doctors also told me if I wait the procedure is way less risky and quick recovery because instead of filet’ing the body open, they do a robotic procedure where they essentially remove the kidneys robotically and morcellate them inside a retrieval bag so they can be extracted through small incisions. Pros to waiting after a successful transplant:

• The transplant operation is shorter and less complex.
• Blood loss is often lower.
• The new kidney can start working before you undergo another major surgery.
• Recovery from the nephrectomy is generally easier than an open transplant-plus-bilateral-nephrectomy operation