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Patients with BMI ≥40 had a higher waitlist dropout in 4 regions. Comparison with BRFSS data illustrated that the proportion of waitlisted patients with BMI ≥40 was significantly lower than the observed rates of morbid obesity in the general population in 3 regions. While BMI ≥45 is associated with modestly lower patient survival, careful selection may equalize these numbers. While BMI ≥45 is associated with modestly lower patient survival, careful selection may equalize these numbers.Kidney transplant recipients (KTRs) are at increased