@estrada53 My husband was transplanted 10/1/16 with a new-to-him kidney, from a 36 yr old young man. Earlier that year, his transplant team had asked him if he would accept a high risk kidney, to which he said "no". His donor kidney was not high risk, but the surgeon did not see it until he was on the table and it arrived from its previous location [different facility].

Not long after that, our friend who was on peritoneal dialysis, had a medical emergency, was placed back on hemodialysis, and was very sick with sepsis. Two weeks later she was offered a high risk kidney, her surgeon gave her 4 hours to decide. When she asked what he might advise a family member in the same situation, he told her "go for it". He apparently had information that he couldn't divulge to her. She did accept that high risk gift and has been very healthy and happy.
Ginger