@shockeysmom Welcome to Mayo Clinic Connect! I'm glad you found us, and your questions is definitely one I had to look up!

How generous for you to offer a kidney to your friend. As your friend may have told you, PKD can be such a cumbersome issue in relation to end stage kidney disease. There are several of my friend who have had that same diagnosis.

Can the transplant team choose to use the ectopic kidney as the donation organ? If not, why not? If they are unwilling to answer these questions, I would look at another transplant center for their opinion. Here is a scientific article that speaks to your same situation, showing an ectopic kidney should not be precluded as a possible organ for transplant! https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5474263/#:~:text=Ectopic%20pelvic%20kidneys%20can%20provide,who%20successfully%20donated%20his%20kidney.

Please let me know what you find out, okay?
Ginger