If you have hiv can you donate your organs to someone else with hiv?

Yes: Donor's known to be hiv+ can donate to other hiv+ patients but only if tests show that they don't have any virus circulating in their blood. Patients receiving a kidney from an hiv+ donor must be informed of the risks and accept them before the transplant can occur.

Not legal in the US: Currently prohibited by law in the US, this approach might be a reasonable way to expand the very inadequate pool of organs. We use this strategy for donors with hepatitis B and hepatitis C. The recipients must always understand and agree. Unless the law is changed, it is not an option in America.

Very Good Question: This is being debated today. Hiv positive patients with kidney failure on dialysis can be safely transplanted (we know of 5 year data) if they are stable on retroviral drugs, although they appear to have more acute rejection episodes. Using an HIV positive donor for this population could be reasonable if the HIV strains were similar. No one else would be using the HIV positive donor organ.