Hello @hello1234, I hope you are doing well with your new kidney. Both of my transplants were from deceased donors. As for biopsies, I think I got 2 after my first transplant and so far I’ve had 2 after my transplant in 2019. Both of the biopsies on my second transplant were routine. Mayo in AZ has follow up appointments 1 year and 2 years post transplant that includes an ultrasound biopsy. I’ve been fortunate to not have any problems with rejection. Now, my doctor uses lab results to see how my kidney is doing. They monitor my creatinine levels every 2-3 months. They would probably do a biopsy if my level started going up on every test. So far that hasn’t happened. Be happy to answer any questions you have.