During the surgery, doctors give you a general anesthetic and a special incision pain-blocking anesthetic. Your surgeon makes an incision in your lower abdomen and places the donor kidney near your bladder in your lower abdomen. Surgeons restore blood supply to your new kidney by connecting your kidney to your blood vessels. Your surgeon then attaches the tube that connects the bladder and kidney (ureter) to your bladder. In most cases your barely functioning existing kidneys aren't removed. Your new kidney often begins to function immediately.