This is an ethnographic study of live, related kidney donation in Pakistan, based on Farhat Moazam’s participant-observer research conducted at a public hospital. Her narrative is both a “thick” description of renal transplant cases and the cultural, ethical, and family conflicts that accompany them, and an object lesson in comparative bioethics.Farhat Moazam is a pediatric surgeon, trained in the United States as well as Pakistan. She was founding Chair and Professor of the Department of Surgery, and Associate Dean of Postgraduate Education at the Aga Khan University Medical College in Karachi. She received her PhD in Religious Studies at the University of Virginia, and is currently Professor and founding Chair of the Center of Biomedical Ethics and Culture, SIUT in Karachi, Pakistan.