The only thing that I could think of is that this would take more time that the patient would be under, possible hemmorrhage and increased chance for infection.
Answer:
A surgeon will only remove the kidney(s) during a transplant if the disease will spread to other organs or tissue, like cancer.
There are 3 main reasons why they don't:
1. Longer time under anesthesia (the less time under anesthesia, the better).
2. More physical pain, let alone the pain in the peritoneal cavity (the space where your "guts" are) where they put the new kidney, but in the back where the kidneys are located.
3. Longer recovery time. The body has to recover from major surgery to put the new kidney in, and would also have to recover from from having kidneys taken out (the body has to "adjust" with the space left where the kidney(s) are/were.Pretty much, there's no reason to do more than necessary.
They do if they need replacing, but more than likely they will do them one at a time if one of them is still functional, this is incase the body rejects the transplant.
reason that they don't remove them is if they pose no health risk, than the removal would be a risk. just that simple
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