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Kidney transplantation with living kidney donation is an optimal treatment modality for end stage kidney disease. Although the risks after kidney donation are few in number, the unrecognised complications due to suboptimal evaluation have been reported in the literature. We hereby report a case of a kidney donor, who was detected to have parathyroid adenoma on routine evaluation for metabolic bone parameters two years post kidney donation. Although she was treated timely, we learnt the importance of careful evaluation of the donor biochemistry prior to transplant.