The term “simple nephrectomy” was described as a procedure of removing the kidney from within Gerota’s fascia & in no manner was meant to indicate that the surgery was technically easy. This method was generally done in the setting of a nonneoplastic disease state but it was end operations after other therapies which include surgery have been failed, making this surgery technically challenging. Kidney removal will be recommended for: Someone who are donating their kidney, kidney stones, birth defects, kidney cancer, a kidney damaged by infection, or other problems, to help control the high blood pressure in someone who are suffering with the blood supply to their kidney, very bad injury to the kidney which cannot be repaired


This surgery was performed in the hospital while patients are asleep & pain-free (general anesthesia). The total method will take 3 or more hours. The steps of simple nephrectomy or open kidney removal:

  • Patient needs to be positioned on their side. Doctors will make an incision or cut up to 12 inches long. This incision will be on your side, it was just below the ribs or right over the lowest ribs.

  • Muscle, tissue and fat were cut and moved. Doctors may need to remove the rib to do the procedure.

  • The tube which carries urine from kidney to the bladder (ureter) & blood vessels were cut away from the kidney. Then kidney was removed.

  • Sometimes, just a part of the kidney will be removed.

  • The cut was then closed with staples or stitches.

Usually, the patients will recover from simple nephrectomies uneventfully & remain in the hospital for less than one week, based on the indication for the comorbidities, the nephrectomy, and the patient’s preoperative status. The success rates along with the improved control of hypertension were as high as 86% in patients with the unilateral atherosclerotic disease of the renal artery.